Berry Adult Foster Care Homes Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

AM820010100 Issued in MI

Legal business name

BERRY ADULT FOSTER CARE HOMES INC

Practice address

3640 McDougall St
Detroit, MI 48207-2344

Phone

(313) 579-1881

NPI assigned

Dec 3, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Elva Denise Steward-Carson, RN MBA

Title

Owner/Ceo/President

Phone

(313) 579-1881

Specialties & licenses 5

Addresses

Other names 1

• One on One Respite Care Doing business as

Locations

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1023310588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 MCDOUGALL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482072344",
            "telephone_number": "313-579-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 MCDOUGALL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482072344",
            "telephone_number": "313-579-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERRY ADULT FOSTER CARE HOMES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-03",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "STEWARD-CARSON",
        "authorized_official_first_name": "ELVA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER/CEO/PRESIDENT",
        "authorized_official_telephone_number": "313-579-1881",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN MBA"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "MI",
            "license": "AM820010100",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AM820010100",
            "primary": true
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "MI",
            "license": "AM820010100",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MI",
            "license": "AM820010100",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "MI",
            "license": "AM820010100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One on One Respite Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chanteil Lenise Berrien, M.D.
• Berrios Antuna Family Practice, PC
• Emilio Jose Berrios Antuna, M.D.
• Ali Hassan Berro, RRT
• Nadia Hussein Berro, PHYSICIAN ASSISTANT
• Felecia Berry, LMSW
• Felicia Lenore Berry, MA
• Fouad Berry, MD
• Jae Berry, RN
• Lacresha Berry

• Adult Care Home Facility in Detroit, MI
• Providers in Detroit, MI by specialty
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.