Organization Active NPI

Das II Residential Care

  • Substance Abuse Rehabilitation Facility
  • Detroit, MI
National Provider Identifier
1245426915
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
822784 Issued in MI
Legal business name
DAS II RESIDENTIAL CARE
Practice address
13301 Mound Rd
Detroit, MI 48212-2545
Phone
(313) 826-1593
NPI assigned
Sep 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Authorized official

Name
Katherine Blakley, MBA
Title
Executive Director
Phone
(313) 826-1593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 822784 MI Primary

Addresses

Primary practice location

13301 Mound Rd
Detroit, MI 48212-2545

Mailing address

13301 Mound Rd
Detroit, MI 48212-2545
Phone (313) 826-1593

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1245426915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13301 MOUND RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482122545",
            "telephone_number": "313-826-1593",
            "fax_number": "313-826-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13301 MOUND RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482122545",
            "telephone_number": "313-826-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAS II RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-17",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "BLAKLEY",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "313-826-1593",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MI",
            "license": "822784",
            "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 Nov 20, 2008; 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.