LATESA RENAE THOMAS C.N.A
NPI 1639636855
Adult Companion in Detroit, MI

Active since February 24, 2019
11611 GRAYTON ST, DETROIT, MI 48224(313) 556-4769(313) 473-8192 Get Directions Write a Review

NPPES record last updated: August 26, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 26, 2019, Feb 24, 2019 (2 updates tracked since 2019).

About Latesa Renae Thomas C.n.a NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LATESA RENAE THOMAS C.N.A (NPI 1639636855) is an individual adult companion provider in Detroit, Michigan, licensed in Michigan (230109450998) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1639636855
Entity TypeIndividualFemale
Primary Taxonomy372600000X
Provider Legal NameLATESA RENAE THOMASCredential: C.N.A
Location Address11611 GRAYTON STDetroit, MI 48224-1643
Mailing Address11611 Grayton StDetroit, MI 48224-1643 · (313) 556-4769 · Fax (313) 473-8192
Fax(313) 473-8192
Sole ProprietorNo
Enumeration DateFebruary 24, 2019
Last NPPES UpdateAugust 26, 20192 updates tracked since enumeration
NPI 1639636855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAdult CompanionNursing Service Related Providers
Taxonomy Code372600000X
License Licensed in MI · 230109450998
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
11611 GRAYTON ST, Detroit, MI 48224

Other Names 1

Former Name (1)Latesa Renae Engram

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Adult Companion
11611 GRAYTON ST
DETROIT, MI 48224

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Latesa Thomas's NPI number?

The NPI number for Latesa Thomas is 1639636855. It was assigned to this individual provider in the NPPES registry on February 24, 2019. The provider is also known as Latesa Renae Engram.

Where is Latesa Thomas located?

Latesa Thomas practices at 11611 Grayton St, Detroit, MI 48224. The listed phone number is (313) 556-4769.

What is Latesa Thomas's specialty?

The primary specialty registered for this NPI is Adult Companion with taxonomy code 372600000X.

When was this NPI record last updated?

The NPPES record for Latesa Thomas was last updated on August 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.