Active Adult Day Center LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ACTIVE ADULT DAY CENTER LLC

Practice address

5738 Kensington Ave
Detroit, MI 48224-2071

Phone

(586) 222-8553

NPI assigned

Aug 27, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Latonya Sain

Title

Owner

Phone

(586) 222-8553

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1346617149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28491 UTICA RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480662593",
            "telephone_number": "586-222-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5738 KENSINGTON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482242071",
            "telephone_number": "586-222-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE ADULT DAY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-27",
        "last_updated": "2017-03-31",
        "status": "A",
        "authorized_official_last_name": "SAIN",
        "authorized_official_first_name": "LATONYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-222-8553",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.