Derrick'S Adult Foster Care Inc in Detroit - Adult Care Home
Derrick'S Adult Foster Care Inc - NPI 1598989717
Derrick'S Adult Foster Care Inc is a Adult Care Home in Detroit, Michigan. Derrick'S Adult Foster Care Inc practices all healthcare services and medical treatments related to Adult Care Home. The NPI Number for Derrick'S Adult Foster Care Inc is 1598989717. The last update date is 2012-01-12.
Derrick'S Adult Foster Care Inc's current location address is 4885 Ivanhoe St, Detroit, Michigan. You can contact this provider via phone number 3139152644 and fax number 2486615024. The mailing address for Derrick'S Adult Foster Care Inc is 4885 Ivanhoe St, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Derrick'S Adult Foster Care Inc |
|---|---|
| Address | 4885 Ivanhoe St, Detroit, Michigan |
| Phone Number | 3139152644 |
| Fax Number | 2486615024 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT, |
|---|---|
| Authorized Official Name | Derrick L Cassandra |
| Credentials | BSHCM |
| Telephone Number | 2486404813 |
NPI Number Detail
| NPI Number | 1598989717 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2012-01-12 |
Provider Mailing Address Detail
| Address | 4885 Ivanhoe St |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482043675 |
| Phone Number | 3139152644 |
| Fax Number | 2486615024 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Care Home |
|---|---|
| Taxonomy | 311Za0620X |
| Licence No | AS820281817 |
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Definition: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like en |
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What is the unique 10-digit identifier code assigned to Derrick'S Adult Foster Care Inc by the Centers for Medicare & Medicaid Services?
The Derrick'S Adult Foster Care Inc has been issued the NPI (National Provider Identifier) 1598989717 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Derrick'S Adult Foster Care Inc located?
The Derrick'S Adult Foster Care Inc is located at 4885 Ivanhoe St, Detroit, MI 482043675.
What is Derrick'S Adult Foster Care Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Derrick'S Adult Foster Care Inc's specialized field of practice is Adult Care Home, and the corresponding taxonomy code that categorizes this area of specialization is 311Za0620X.
When did Derrick'S Adult Foster Care Inc receive its 1598989717 assignment?
The Derrick'S Adult Foster Care Inc was assigned its 1598989717 on 2007-04-11, which is the date when this unique identifier was issued to the organization.
As of what date were the Derrick'S Adult Foster Care Inc's details last updated?
The information pertaining to the Derrick'S Adult Foster Care Inc, including its address, specialty, and other details, was most recently updated on 2012-01-12.
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