Restart Veterans Foster Home Care LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

RESTART VETERANS FOSTER HOME CARE LLC

Practice address

2105 Lakeview Dr
Suite # 135
Ypsilanti, MI 48198-6754

Phone

(480) 276-7144

NPI assigned

Jun 20, 2015

Last updated

Jun 20, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Emelyn Besem

Title

Owner/Administrator

Phone

(480) 276-1466

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1434758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434758400000",
    "number": "1346622867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 LAKEVIEW DR",
            "address_2": "SUITE # 135",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481986754",
            "telephone_number": "480-276-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 LAKEVIEW DR",
            "address_2": "SUITE # 135",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481986754",
            "telephone_number": "480-276-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTART VETERANS FOSTER HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-20",
        "last_updated": "2015-06-20",
        "status": "A",
        "authorized_official_last_name": "BESEM",
        "authorized_official_first_name": "EMELYN",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "480-276-1466",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2015; 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.