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DETROIT FAMILY HOME NPI 1609209634


NPI Information

NPI: 1609209634
Provider Name: DETROIT FAMILY HOME
Classification: Custodial Care Facility - 311Z00000X
Entity Type: Organization
Address:
17180 INDIANA ST
DETROIT, MI
ZIP 48221
Phone: (313) 270-7751
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DETROIT FAMILY HOME is a custodial care facility in Detroit, MI. The provider is a facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. DETROIT FAMILY HOME NPI is 1609209634. The provider is registered as an organization entity type.

The provider's business location address is:

17180 INDIANA ST
DETROIT, MI
ZIP 48221-445
Phone: (313) 270-7751
Fax: (313) 270-7291

The provider's authorized official is Jean Felix Nyambio .
The authorized official title is Ceo and has the following contact phone number (301) 332-3009.

The enumeration date for this NPI number is 8/13/2013 and was last updated on 12/22/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320700000XResidential Treatment Facility, Physical DisabilitiesAS820338244MICHIGANNo
2311ZA0620XCustodial Care FacilityAdult Care HomeAS820338244MICHIGANNo
3320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesAS820338244MICHIGANNo
4320800000XCommunity Based Residential Treatment Facility, Mental IllnessAS820338244MICHIGANNo
5385H00000XRespite CareAS820338244MICHIGANNo
6385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesAS820338244MICHIGANNo
7311Z00000XCustodial Care FacilityAS820338244MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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