Deering Street Community Living & Respite Center LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

DEERING STREET COMMUNITY LIVING & RESPITE CENTER LLC

Practice address

18700 Deering St
Livonia, MI 48152-3735

Phone

(248) 777-0015

NPI assigned

Jan 20, 2023

Organization subpart

No

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

Authorized official

Name

Susan Catherman

Title

Credentialing

Phone

(734) 223-1184

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathleen Burcusel

  • Assisted Living Facility
  • Livonia, MI
  • NPI 1750099404
  NPD

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1275248577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18700 DEERING ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18700 DEERING ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523735",
            "telephone_number": "248-777-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEERING STREET COMMUNITY LIVING & RESPITE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "CATHERMAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "734-223-1184"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Debord
• Charles Anthony Decarlo, TLLP
• Patricia Irene Decourcy, MSW LMSW
• Belinda Deem
• Amira Mohamad Deep-Berry, NP
• Michael Eric Degryse, D.O.
• Mohammad Mahdi Dehbozorgi, M.D.
• Jeffrey P Dehn, MPT
• Kevin G. Deighton, MD
• Fanny Aguirre Dela Cruz, M.D.

• Assisted Living Facility in Livonia, MI
• Providers in Livonia, MI by specialty
• Assisted Living Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.