Organization Active NPI

Reality Response LLC

  • Adult Care Home Facility
  • Detroit, MI
National Provider Identifier
1003348145
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
AS820316567 Issued in MI
Legal business name
REALITY RESPONSE LLC
Practice address
2455 W Grand St
Detroit, MI 48238-3445
Phone
(313) 365-7162
NPI assigned
Mar 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shadona Lang
Title
Ceo
Phone
(313) 465-2125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X AS820316567 MI Primary

Addresses

Primary practice location

2455 W Grand St
Detroit, MI 48238-3445

Mailing address

1961 Longfellow St
Detroit, MI 48206-2051
Phone (313) 465-2125

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1003348145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1961 LONGFELLOW ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482062051",
            "telephone_number": "313-465-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 W GRAND ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482383445",
            "telephone_number": "313-365-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REALITY RESPONSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-29",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "SHADONA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-465-2125"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AS820316567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.