Great Scott Homes Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

AF820307845 Issued in MI

Legal business name

GREAT SCOTT HOMES INC

Practice address

3202 Leslie St
Detroit
Detroit, MI 48238-3308

Phone

(248) 910-9560

Fax

(248) 799-9210

NPI assigned

Feb 16, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Nedesta Nwabueze

Title

President

Phone

(248) 910-9560

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1447619697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4207",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480374207",
            "telephone_number": "248-910-9560",
            "fax_number": "248-799-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 LESLIE ST",
            "address_2": "DETROIT",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482383308",
            "telephone_number": "248-910-9560",
            "fax_number": "248-799-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT SCOTT HOMES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-16",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "NWABUEZE",
        "authorized_official_first_name": "NEDESTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-910-9560",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": "AF820307845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great Lakes Family Medical Center PLLC
• Great Lakes Family Medical Center PLLC
• Great Lakes Family Services
• Great Lakes Medical Supplies Inc
• Great Lakes Property & Investment, Inc (Great Lakes Property Community Outreach)
• Great Scott Homes Inc.
• Great Star Transportation LLC
• Greater Blessings LLC
• Greater Blessings Outreach Ministry Church
• Greater Good Inc (Pharmacy 4 Less III)

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Detroit, MI
• Providers in Detroit, MI by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.