Individual provider Active NPI

Akilah Davis

  • Assisted Living Facility
  • Southfield, MI
National Provider Identifier
1225862048
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AS630415946 Issued in MI
Practice address
25004 Chambley Dr
Southfield, MI 48034-1202
Phone
(248) 224-4890
Fax
(248) 327-6091
NPI assigned
Aug 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AS630415946 MI Primary

Addresses

Primary practice location

25004 Chambley Dr
Southfield, MI 48034-1202

Mailing address

25004 Chambley Dr
Southfield, MI 48034-1202
Phone (248) 224-4890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AS630415946MIMDAssisted Living Facility

Practice roles

OrganizationSpecialtyStatusNew patients
All Aboard Transportation Services Current Accepting new patients
All Aboard Supports & Services CurrentSince Sep 1, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1225862048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25004 CHAMBLEY DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341202",
            "telephone_number": "248-224-4890",
            "fax_number": "248-327-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25004 CHAMBLEY DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341202",
            "telephone_number": "248-224-4890",
            "fax_number": "248-327-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "AKILAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AS630415946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.