Echols Support Services, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

AS630287634 Issued in MI

Legal business name

ECHOLS SUPPORT SERVICES, INC.

Practice address

25701 Ravine St
Southfield, MI 48033-2256

Phone

(248) 353-4729

NPI assigned

Dec 5, 2017

Organization subpart

No

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

Authorized official

Name

Brufus Lewis

Title

Vice President-Operations

Phone

(248) 353-4729

Specialties & licenses 1

Addresses

Practitioners 1

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

• Richard Lawrence Echols

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Southfield, MI
  • NPI 1699296855

  Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD (past)

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512432000000",
    "number": "1104331776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25701 RAVINE ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480332256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25701 RAVINE ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480332256",
            "telephone_number": "248-353-4729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECHOLS SUPPORT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-05",
        "last_updated": "2017-12-05",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "BRUFUS",
        "authorized_official_title_or_position": "VICE PRESIDENT-OPERATIONS",
        "authorized_official_telephone_number": "248-353-4729"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": "AS630287634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Warwick Eaton, MD
• Eaze Pamperme Pretty LLC
• Noemi Ebenstein, PHD
• Patricia J Eble, NP
• Reginald N Eburuche Sr., MD
• Katrina Echols-Johnson
• Justice C Echols, MD
• Richard Lawrence Echols
• Eckstein Dental PLLC
• Janay Eddins

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Southfield, MI
• Providers in Southfield, MI by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.