Organization Active NPI

Maka Sil & Group Home, Inc

  • Clinical Social Worker
  • Southfield, MI
National Provider Identifier
1255665436
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MAKA SIL & GROUP HOME, INC
Practice address
24123 Greenfield Rd
Ste 307
Southfield, MI 48075-3125
Phone
(248) 595-8108
Fax
(248) 595-8237
NPI assigned
Sep 22, 2009
Last updated
Jul 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Authorized official

Name
Mr. Raymond Kyle Williams Jr.
Title
Assistant Director
Phone
(313) 347-6334

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X

Addresses

Primary practice location

24123 Greenfield Rd
Ste 307
Southfield, MI 48075-3125

Mailing address

24123 Greenfield Rd
Ste 307
Southfield, MI 48075-3125
Phone (248) 595-8108

National Provider Directory

National Provider Directory

Locations

24123 Greenfield Rd
Ste 30
Southfield, MI 48075
Phone (248) 595-8108

24123 Greenfield Rd
Ste 307
Southfield, MI 48075
Phone (248) 595-8108

NPI Registry JSON

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1255665436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24123 GREENFIELD RD",
            "address_2": "STE 307",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753125",
            "telephone_number": "248-595-8108",
            "fax_number": "248-595-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24123 GREENFIELD RD",
            "address_2": "STE 307",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753125",
            "telephone_number": "248-595-8108",
            "fax_number": "248-595-8237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKA SIL & GROUP HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-22",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "313-347-6334",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jul 10, 2015; 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.