Organization Active NPI

Devonshire Manor Inc.

  • Respite Care
  • Brighton, MI
National Provider Identifier
1285941971
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
AS470291101 Issued in MI
Legal business name
DEVONSHIRE MANOR INC.
Practice address
891 Devonshire Blvd
Brighton, MI 48116-1705
Phone
(810) 220-4516
Fax
(810) 225-4388
NPI assigned
Sep 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2010

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

Authorized official

Name
Mysti Rochowiak
Title
Administrator
Phone
(810) 220-4516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X AS470291101 MI Primary

Addresses

Primary practice location

891 Devonshire Blvd
Brighton, MI 48116-1705

Mailing address

891 Devonshire Blvd
Brighton, MI 48116-1705

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283385600000",
    "number": "1285941971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 DEVONSHIRE BLVD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 DEVONSHIRE BLVD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161705",
            "telephone_number": "810-220-4516",
            "fax_number": "810-225-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVONSHIRE MANOR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-02",
        "last_updated": "2010-09-02",
        "status": "A",
        "authorized_official_last_name": "ROCHOWIAK",
        "authorized_official_first_name": "MYSTI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "810-220-4516"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "MI",
            "license": "AS470291101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.