P & R Adult Foster Care LLC

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Legal business name

P & R ADULT FOSTER CARE LLC

Practice address

2785 E Grand Blvd
Detroit, MI 48211-2003

Phone

(313) 784-6738

NPI assigned

Jun 27, 2024

Last updated

Jun 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacqueline Lynn Bryan-McCoy

Title

Manager/Partner

Phone

(313) 784-6738

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1265277636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2785 E GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482112003",
            "telephone_number": "313-784-6738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 E GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482112003",
            "telephone_number": "313-784-6738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P & R ADULT FOSTER CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "BRYAN-MCCOY",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MANAGER/PARTNER",
        "authorized_official_telephone_number": "313-784-6738"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse's Aide in Detroit, MI
• Providers in Detroit, MI by specialty
• Nurse's Aide in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.