B&R Holistic Care Housing, LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

E8830U Issued in MI

Legal business name

B&R HOLISTIC CARE HOUSING, LLC

Practice address

19303 Mark Twain St
Detroit, MI 48235-1914

Phone

(313) 850-6052

NPI assigned

Aug 29, 2016

Last updated

Aug 29, 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

Bertha Odessa Rosson, LMSWNPI 1760730626

Title

Licensed Clinical Social Worker

Phone

(313) 293-4268

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.

• Bertha Odessa Rosson, LMSW

  • Social Worker
  • Fort Belvoir, VA
  • NPI 1760730626
  Authorized official Same address or phone

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472428800000",
    "number": "1205382389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3832 MIRACLES BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011515",
            "telephone_number": "313-293-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19303 MARK TWAIN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482351914",
            "telephone_number": "313-850-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B&R HOLISTIC CARE HOUSING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-29",
        "last_updated": "2016-08-29",
        "status": "A",
        "authorized_official_last_name": "ROSSON",
        "authorized_official_first_name": "BERTHA",
        "authorized_official_middle_name": "ODESSA",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "313-293-4268",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "MI",
            "license": "E8830U",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kehinde Babalola, DDS, MDS

• Assisted Living Facility (Mental Illness) in Detroit, MI
• Providers in Detroit, MI by specialty
• Assisted Living Facility (Mental Illness) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.