Born for Me LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

6801085319 Issued in MI

Legal business name

BORN FOR ME LLC

Practice address

19323 Stansbury St
Detroit, MI 48235-1733

Phone

(313) 215-6395

NPI assigned

May 7, 2016

Last updated

May 7, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Ebony Harvey-Jackson, LMSWNPI 1164820163

Title

Ceo

Phone

(313) 215-6395

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, and the practitioner matching its NPPES authorized official.

• Ebony Harvey-Jackson, LMSW

  • Health Information Technician
  • Detroit, MI
  • NPI 1164820163
  NPD (past) Authorized official

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

{
    "created_epoch": "1462579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462579200000",
    "number": "1164878294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14513",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482140513",
            "telephone_number": "313-215-6395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19323 STANSBURY ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482351733",
            "telephone_number": "313-215-6395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORN FOR ME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-07",
        "last_updated": "2016-05-07",
        "status": "A",
        "authorized_official_last_name": "HARVEY-JACKSON",
        "authorized_official_first_name": "EBONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-215-6395",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MI",
            "license": "6801085319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Menusa Borgnes, CRNA
• Mark Borkin, MD
• Vincent Daniel Borla, D.O.
• Bormans Inc (Farmer Jack Pharmacy)
• Bormans Inc (Farmer Jack Pharmacy)
• Born Jones LLC
• Hollie Born, MA, LLPC
• Damita Borner
• Corey Isaac Bornstein, DDS
• Teresa Ann Borowski, PMHNP-BC

• Case Management Agency in Detroit, MI
• Providers in Detroit, MI by specialty
• Case Management Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2016; 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.