Active NPI
Jason Christopher Crump
- Intellectual Disabilities Intermediate Care Facility
- Detroit, MI
National Provider Identifier
1245194471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- License
- AS8200419685
- Practice address
- 811 Gladstone St
Detroit, MI 48202-1709 - Phone
- (313) 444-6594
- NPI assigned
- Dec 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | AS8200419685 | MI | Primary |
Addresses
Primary practice location
811 Gladstone St
Detroit, MI 48202-1709
Mailing address
22459 Armstrong Ave
Brownstown, MI 48193-8210
Phone (313) 444-6594
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
| License | State | Type | Specialty |
|---|---|---|---|
| AS8200419685 | MI | MD | Intellectual Disabilities Intermediate Care Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Milestone Homes | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Adult Care Home Facility
- Detroit, MI
- NPI 1508712191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765411200000",
"number": "1245194471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22459 ARMSTRONG AVE",
"city": "BROWNSTOWN",
"state": "MI",
"postal_code": "481938210",
"telephone_number": "313-444-6594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 GLADSTONE ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482021709",
"telephone_number": "313-444-6594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUMP",
"first_name": "JASON",
"middle_name": "CHRISTOPHER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-12-11",
"last_updated": "2025-12-11",
"certification_date": "2025-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "MI",
"license": "AS8200419685",
"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 Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.