Organization Active NPI

Clara Stevens Adult Day Care LLC

  • Adult Day Care Clinic/Center
  • Detroit, MI
National Provider Identifier
1144562653
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
1506511 Issued in MI
Legal business name
CLARA STEVENS ADULT DAY CARE LLC
Practice address
19110 McCormick St
Detroit, MI 48224-1018
Phone
(248) 252-1023
NPI assigned
Mar 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Authorized official

Name
Steven Lee Johnson
Title
Caregiver
Phone
(248) 252-1023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 1506511 MI Primary

Addresses

Primary practice location

19110 McCormick St
Detroit, MI 48224-1018

Mailing address

19110 McCormick St
Detroit, MI 48224-1018
Phone (248) 252-1023

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1144562653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19110 MCCORMICK ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482241018",
            "telephone_number": "248-252-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19110 MCCORMICK ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482241018",
            "telephone_number": "248-252-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARA STEVENS ADULT DAY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-22",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CAREGIVER",
        "authorized_official_telephone_number": "248-252-1023"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MI",
            "license": "1506511",
            "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 Sep 4, 2014; 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.