Organization Active NPI

Alternative Adult Residence Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Detroit, MI
National Provider Identifier
1053879718
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
ALTERNATIVE ADULT RESIDENCE INC.
Practice address
18403 Kentucky St
Detroit, MI 48221-2029
Phone
(313) 334-1953
NPI assigned
Mar 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Authorized official

Name
Adrienne FlowersNPI 1912481235
Title
Owner
Phone
(313) 334-1953

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

18403 Kentucky St
Detroit, MI 48221-2029

Mailing address

29350 Marimoor Dr
Southfield, MI 48076-1615
Phone (313) 215-2303

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1053879718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29350 MARIMOOR DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761615",
            "telephone_number": "313-215-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18403 KENTUCKY ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212029",
            "telephone_number": "313-334-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERNATIVE ADULT RESIDENCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "FLOWERS",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-334-1953"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "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 12, 2019; 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.