Jody Elizabeth Josephson

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

AF810377402 Issued in MI

Practice address

7415 Dexter Pinckney Rd
Dexter, MI 48130-7505

Phone

(734) 426-3733

Fax

(734) 426-2269

NPI assigned

May 13, 2020

Sex

Female

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clara'S House 2 LLC

  • Adult Care Home Facility
  • Dexter, MI
  • NPI 1487392049
  NPD Authorized official

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1104448018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10111 ISLAND LAKE RD",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481309594",
            "telephone_number": "734-526-3734",
            "fax_number": "734-436-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7415 DEXTER PINCKNEY RD",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481307505",
            "telephone_number": "734-426-3733",
            "fax_number": "734-426-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPHSON",
        "first_name": "JODY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "MI",
            "license": "AF810377402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Robert Jensen, PHARMD
• Jodie Hastings SLP LLC
• Brett Johnson, LMSW
• Alijah Jonah, MSW
• Justin Jones
• Julie Freeman, DDS, Ms, PLLC
• Jyb Homecare
• Nell Kacmarek
• Joyce E Kaferle, MD
• Shubham Raakhee Kalwani, DO

• Foster Care Agency in Dexter, MI
• Providers in Dexter, MI by specialty
• Foster Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.