Terry Adult Foster Care Inc.

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

TERRY ADULT FOSTER CARE INC.

Practice address

1754 Van Dyke St
Detroit, MI 48214-2634

Phone

(313) 921-3957

Fax

(313) 931-3474

NPI assigned

Jun 24, 2024

Organization subpart

No

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

Authorized official

Name

Vadie Terry

Title

Ceo/Provider

Phone

(313) 491-6023

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1295579290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12747 INDIANA ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482383078",
            "telephone_number": "313-491-6023",
            "fax_number": "313-931-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1754 VAN DYKE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482142634",
            "telephone_number": "313-921-3957",
            "fax_number": "313-931-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY ADULT FOSTER CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "VADIE",
        "authorized_official_title_or_position": "CEO/PROVIDER",
        "authorized_official_telephone_number": "313-491-6023"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laviettriea Terrell
• Mellonie Gloria Terrell
• Ny'Dea Terrell
• Tammy Latice Terrell, LMSW
• Carlos Eduardo Terres
• Terry Scott Baul, M.D., P.C.
• Alexis J Terry, LLPC
• Ashlynn Terry
• Charles A. Terry
• Robin Ricardo Terry, BS SWSST

• Assisted Living Facility (Mental Illness) in Detroit, MI
• Providers in Detroit, MI by specialty
• Assisted Living Facility (Mental Illness) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.