Organization Active NPI

Arden Park Community Services

  • In Home Supportive Care Agency
  • Detroit, MI
National Provider Identifier
1275440695
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ARDEN PARK COMMUNITY SERVICES
Practice address
2790 Oakman Blvd
Detroit, MI 48238-2558
Phone
(215) 614-9801
NPI assigned
Aug 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Authorized official

Name
Dr. Davonti' Deangelo Haynes, MSW, PHD
Title
Owner
Phone
(215) 614-9801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2790 Oakman Blvd
Detroit, MI 48238-2558

Mailing address

2790 Oakman Blvd
Detroit, MI 48238-2558
Phone (215) 614-9801

NPI Registry JSON

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1275440695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 OAKMAN BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482382558",
            "telephone_number": "215-614-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 OAKMAN BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482382558",
            "telephone_number": "215-614-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARDEN PARK COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "DAVONTI'",
        "authorized_official_middle_name": "DEANGELO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-614-9801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MSW, PHD"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "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 Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.