Yvette Hardy Pebble Brook Care Agency Inc

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

YVETTE HARDY PEBBLE BROOK CARE AGENCY INC

Doing business as

Pebble Brook Care Agency Inc

Practice address

818 Middlebelt Rd
Inkster, MI 48141-1105

Phone

(313) 658-5420

NPI assigned

Apr 19, 2018

Organization subpart

No

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

Authorized official

Name

Yvette Laronia Hardy

Title

Director

Phone

(313) 658-5420

Specialties & licenses 1

Addresses

Other names 1

• Pebble Brook Care Agency Inc Doing business as

Locations

Practitioners 1

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

• Carolyn J. Nicholson, LMSW

  • Clinical Social Worker
  • Southfield, MI
  • NPI 1447410071
  NPD (past)

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562803200000",
    "number": "1194212613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15333 BROOKSIDE DR",
            "city": "VAN BUREN TWP",
            "state": "MI",
            "postal_code": "481115187",
            "telephone_number": "313-658-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 MIDDLEBELT RD",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481411105",
            "telephone_number": "313-658-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YVETTE HARDY PEBBLE BROOK CARE AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2019-07-11",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_middle_name": "LARONIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "313-658-5420"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pebble Brook Care Agency Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Social Worker in Inkster, MI
• Providers in Inkster, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.