CMS-1500 Box 24J / 33a • NPI
1447773593
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
253Z00000X
Licensed & Credentialed In Home Supportive Care
Box 32 Service Location & ZIP+4
45034 RIVERWOODS DR, MACOMB, MI, 48044-5780
✓ 9-Digit EDI 837 ZIP+4 (48044-5780)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1447773593 (112 GROUP) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1447773593 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | 112 GROUP |
| Plain-English Specialty | Licensed & Credentialed In Home Supportive Care NUCC Code: 253Z00000X (In Home Supportive Care) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 45034 RIVERWOODS DR, MACOMB, MI, 48044-5780 |
| Practice Telephone / Fax | Tel: (586) 239-0688 | Fax: (586) 239-0688 |
| Administrative Mailing Address | 42211 GARFIELD RD STE 231, CLINTON TOWNSHIP, MI, 48038-1648 |
| Enumeration & Last Sync | Enumerated: 2017-07-20 | CMS Record Updated: 2017-07-20 |
| Authorized Official | MFON UMANA-ODEI (Operations Manager) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (253Z00000X)
What Does Taxonomy Code 253Z00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 253Z00000X translates to:
"Licensed & Credentialed In Home Supportive Care"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (112 GROUP)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
253Z00000X — In Home Supportive CarePlain English: Licensed & Credentialed In Home Supportive Care | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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