5K Adult Day Care Corporation

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

5K ADULT DAY CARE CORPORATION

Practice address

16352 E Warren Ave
Detroit, MI 48224-2716

Phone

(313) 854-0082

NPI assigned

Apr 8, 2011

Last updated

Apr 8, 2011By 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

Mr. Kirk Young

Title

President

Phone

(313) 854-0082

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1437449600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16352 E WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482242716",
            "telephone_number": "313-854-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16352 E WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482242716",
            "telephone_number": "313-854-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5K ADULT DAY CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-08",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "KIRK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-854-0082",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADULT DAY CARE",
            "identifier": "MICHIGAN",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 4Gem Enterprises
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• 5412 West Warren Drugs Inc (action drugs #2)
• 5412 West Warren Drugs Inc. (Action Drugs #2)
• 5K Adult Day Care Corporation
• 6 Star Home Healthcare LLC
• 68 Loving Hearts Home Health Care Company
• 7 Van Drugs LLC (7 Van Drugs)
• 7-Huntington Podiatry Associates PC
• A & E Homecare Services LLC

• Health Maintenance Organization in Detroit, MI
• Providers in Detroit, MI by specialty
• Health Maintenance Organization in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; 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.