Deshra Michelle Vines

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

AS2504124845 Issued in MI

Practice address

1405 Watch Hill Dr
Flint, MI 48507-5625

Phone

(810) 233-6696

Fax

(810) 233-6696

NPI assigned

Dec 11, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Precious Places, LLC

  • Developmentally Disabled Services Day Training Agency
  • Flint, MI
  • NPI 1548676075
  NPD
• Brilliant Minds Solutions LLP

  • Early Intervention Provider Agency
  • Holland, OH
  • NPI 1740175496
  NPD
• Geriatric and Medical Specialists of Michigan P L C

  • Geriatric Medicine (Internal Medicine) Physician
  • Flint, MI
  • NPI 1255429007
  NPD (past)

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1255576765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 LIPPINCOTT BLVD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485035818",
            "telephone_number": "810-233-6696",
            "fax_number": "810-233-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 WATCH HILL DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485075625",
            "telephone_number": "810-233-6696",
            "fax_number": "810-233-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINES",
        "first_name": "DESHRA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-11",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MI",
            "license": "BCBA1349277",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": "AS2504124845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHS PROVIDER ID NUMBER",
            "identifier": "9099470",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiana J Villarreal
• Steven Vimr, MA, LLP
• Jonesha Marie Vincent
• Madison Vincent
• Sarah L. Vincke, PAC
• Tejaswi Vinjam, MD
• Samantha Viola, LLMSW
• Vip Smiles Dentistry, PLLC
• Virgil Love DC Chiropractor PLC
• Virtumed LLC

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Flint, MI
• Providers in Flint, MI by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.