Byerly Enterprises II, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BYERLY ENTERPRISES II, LLC

Practice address

6490 Eastlawn Ave
Clarkston, MI 48346-2422

Phone

(810) 691-6400

Fax

(248) 574-5999

NPI assigned

Nov 25, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Carl Wesley Byerly, PH.D.NPI 1669242103

Title

Ceo

Phone

(819) 691-6400

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.

• Carl W Byerly, PH.D.

  • Assisted Living Facility
  • Clarkston, MI
  • NPI 1669242103
  NPD Authorized official

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1225854144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4759 OWASCO CT",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483482273",
            "telephone_number": "810-691-6400",
            "fax_number": "248-574-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6490 EASTLAWN AVE",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462422",
            "telephone_number": "810-691-6400",
            "fax_number": "248-574-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYERLY ENTERPRISES II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "BYERLY",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "819-691-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Burke
• Alan Burnham, PMHNP-BC
• Nancy Burr
• Melinda Buss, PT, DPT
• Chelsea Buzzitta, M.A.
• Byerly Enterprises, LLC
• Carl W Byerly, PH.D.
• Kimberly Jill Byrd, LMSW
• Kevin Sean Byrne, DPT
• Kimberly Cabe, FNP

• Assisted Living Facility in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Assisted Living Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.