Dewand Leshawn Glenn

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

G450139511724 Issued in MI

Practice address

12103 Rosemary St
Detroit, MI 48213-1366

Phone

(313) 614-7567

NPI assigned

Mar 31, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1043013428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26100 HOFFMEYER ST",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664915",
            "telephone_number": "313-926-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12103 ROSEMARY ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482131366",
            "telephone_number": "313-614-7567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "DEWAND",
        "middle_name": "LESHAWN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MI",
            "license": "G450139511724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Precious Glass
• Ralphael Glass
• James Joseph Glazier, MD
• Glendale Attendant Care Agency
• Danyiele Ellese Glenn, FNP
• Jaanna Desiree Carmilla Glenn
• Karen Glenn
• Katrina Glenn, NURSE LPN
• Katurah Glenn
• Kimberley Glenn

• Home Health Aide in Detroit, MI
• Providers in Detroit, MI by specialty
• Home Health Aide in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.