Organization Active NPI

Closest Place to Home LLC

  • Assisted Living Facility (Mental Illness)
  • Detroit, MI
National Provider Identifier
1275886665
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
CLOSEST PLACE TO HOME LLC
Practice address
19810 Westmoreland Rd
Detroit, MI 48219-5106
Phone
(313) 350-8698
Fax
(248) 427-1165
NPI assigned
Oct 22, 2012
Last updated
Apr 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Authorized official

Name
Mr. Javaughn S Jones
Title
Owner
Phone
(313) 350-8698

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X
Assisted Living Facility (Mental Illness) 3104A0625X Primary

Addresses

Primary practice location

19810 Westmoreland Rd
Detroit, MI 48219-5106

Mailing address

35630 Grand River Ave
Suite 210a
Farmington Hills, MI 48335-3133
Phone (313) 350-8698

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1275886665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35630 GRAND RIVER AVE",
            "address_2": "SUITE 210A",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483353133",
            "telephone_number": "313-350-8698",
            "fax_number": "248-427-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19810 WESTMORELAND RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482195106",
            "telephone_number": "313-350-8698",
            "fax_number": "248-427-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOSEST PLACE TO HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JAVAUGHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-350-8698",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "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 Apr 1, 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.