Is-Care CLS, Inc.

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

IS-CARE CLS, INC.

Practice address

1777 N Rademacher St
Detroit, MI 48209-2049

Phone

(313) 894-1630

Fax

(313) 894-1648

NPI assigned

Jan 20, 2010

Organization subpart

No

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

Authorized official

Name

Gwynevere M. Coles

Title

Founder & Director

Phone

(313) 706-7237

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1164753828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16524 ROSEMONT",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48219",
            "telephone_number": "313-706-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 N RADEMACHER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482092049",
            "telephone_number": "313-894-1630",
            "fax_number": "313-894-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IS-CARE CLS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "COLES",
        "authorized_official_first_name": "GWYNEVERE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "FOUNDER & DIRECTOR",
        "authorized_official_telephone_number": "313-706-7237"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Marie Irvin, MD
• Dennis Irvine
• Ruthell Irving
• Megan G. Irwin, NP
• Irxplus.Com,Inc
• Andrew Robert Isaacson, MD
• Krysten Isabell, SLP
• Margarie Isbell
• Sarah Ann Isbell
• Wayne Isbell, LMSW, CAC-I

• Psychiatric Residential Treatment Facility in Detroit, MI
• Providers in Detroit, MI by specialty
• Psychiatric Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.