NPIMap

Organization Active NPI

K, D & B Adult Foster Care Home, LLC

  • Adult Care Home Facility
  • Detroit, MI
National Provider Identifier
1174605273
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
K, D & B ADULT FOSTER CARE HOME, LLC
Practice address
12026 W Outer Dr
Detroit, MI 48223-2585
Phone
(313) 532-1312
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Deirdre Michelle Hicks, CAC-1, AGSNPI 1649499633
Title
Program Director
Phone
(313) 207-2009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X MI Primary

Addresses

Primary practice location

12026 W Outer Dr
Detroit, MI 48223-2585

Mailing address

7720 Minock St
Detroit, MI 48228-4513
Phone (313) 240-8926

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174605273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7720 MINOCK ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482284513",
            "telephone_number": "313-240-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12026 W OUTER DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232585",
            "telephone_number": "313-532-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K, D & B ADULT FOSTER CARE HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "DEIRDRE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "313-207-2009",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CAC-1, AGS"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": null,
            "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 Jul 21, 2022; 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.