Organization Active NPI

Debreeca

  • Pediatric Skilled Nursing Facility
  • Detroit, MI
National Provider Identifier
1346629599
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
License
4703109404 Issued in MI
Legal business name
DEBREECA
Practice address
14855 Rosemont Ave
Detroit, MI 48223-2340
Phone
(313) 437-5254
NPI assigned
May 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Authorized official

Name
Debreeca Byrd
Title
LPN
Phone
(313) 437-5254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X 4703109404 MI Primary

Addresses

Primary practice location

14855 Rosemont Ave
Detroit, MI 48223-2340

Mailing address

14855 Rosemont Ave
Detroit, MI 48223-2340

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1346629599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14855 ROSEMONT AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14855 ROSEMONT AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232340",
            "telephone_number": "313-437-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBREECA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "DEBREECA",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "313-437-5254"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "MI",
            "license": "4703109404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

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