Active NPI
Patrick Development Inc
Doing business as The Patrick Center
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Detroit, MI
National Provider Identifier
1437235140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- AS820068122
- Legal business name
- PATRICK DEVELOPMENT INC
- Doing business as
- The Patrick Center
- Practice address
- 17133 Mendota St
Detroit, MI 48221-2306 - Phone
- (313) 283-8494
- Fax
- (248) 796-7831
- NPI assigned
- Oct 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Karl Patrick
- Title
- Home Provider
- Phone
- (313) 341-2827
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | AS820068122 | MI | Primary |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X |
Addresses
Primary practice location
17133 Mendota St
Detroit, MI 48221-2306
Mailing address
19785 W 12 Mile Rd Ste 42
Southfield, MI 48076-2584
Phone (313) 436-6117
Other names 1
- The Patrick Center
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Attendant Care Provider
- Detroit, MI
- NPI 1952871261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715817600000",
"number": "1437235140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19785 W 12 MILE RD STE 42",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480762584",
"telephone_number": "313-436-6117",
"fax_number": "248-796-7831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17133 MENDOTA ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482212306",
"telephone_number": "313-283-8494",
"fax_number": "248-796-7831"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATRICK DEVELOPMENT INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-27",
"last_updated": "2024-05-16",
"certification_date": "2024-05-16",
"status": "A",
"authorized_official_last_name": "PATRICK",
"authorized_official_first_name": "KARL",
"authorized_official_title_or_position": "HOME PROVIDER",
"authorized_official_telephone_number": "313-341-2827",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "MI",
"license": "AS820068122",
"primary": true
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Patrick Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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 16, 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.