Organization Active NPI

Dynasty Senior Center

  • Adult Care Home Facility
  • Detroit, MI
National Provider Identifier
1144180183
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
DYNASTY SENIOR CENTER
Practice address
1021 Clairpointe St
Detroit, MI 48215-2985
Phone
(313) 214-6855
NPI assigned
Nov 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Authorized official

Name
Christian Boatmon
Title
Owner
Phone
(313) 214-6855

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X
Community/Behavioral Health Agency 251S00000X
Adult Care Home Facility 311ZA0620X Primary
Respite Care 385H00000X

Addresses

Primary practice location

1021 Clairpointe St
Detroit, MI 48215-2985

Mailing address

2992 Marlborough St
Detroit, MI 48215-2592
Phone (313) 214-6855

National Provider Directory

National Provider Directory

Locations

1021 Clairpointe St
Detroit, MI 48215
Phone (313) 214-6855

NPI Registry JSON

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

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1144180183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2992 MARLBOROUGH ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482152592",
            "telephone_number": "313-214-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 CLAIRPOINTE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482152985",
            "telephone_number": "313-214-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNASTY SENIOR CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "BOATMON",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-214-6855"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Nov 13, 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.