Cleansing the Derma

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CLEANSING THE DERMA

Practice address

24629 Berry Ave
Warren, MI 48089-2170

Phone

(586) 362-0951

NPI assigned

Dec 8, 2021

Organization subpart

No

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

Authorized official

Name

Bianca MorrisNPI 1861026395

Title

Registered Nurse

Phone

(586) 362-0951

Specialties & licenses 2

Addresses

Practitioners 1

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

• Bianca Symone-Raveen Morris, RN

  • Registered Nurse
  • Warren, MI
  • NPI 1861026395
  NPD Authorized official

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1316606262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24629 BERRY AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480892170",
            "telephone_number": "586-362-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24629 BERRY AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480892170",
            "telephone_number": "586-362-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEANSING THE DERMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "BIANCA",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "586-362-0951"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Ryan Ciullo, MD
• Clairpointe Family Therapy PLLC
• Dorrance D Clark, DDS, MSD
• Laura C Clark, M.D.
• Destiny Clay
• Kimberly Michelle Clemons, LMSW
• Jonathan Cline
• Ivory Clinton
• Crystal Coates Martinez
• Courtney Coates

• In Home Supportive Care Agency in Warren, MI
• Providers in Warren, MI by specialty
• In Home Supportive Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.