Active NPI
Family Tyes Inc
- In Home Supportive Care Agency
- Detroit, MI
National Provider Identifier
1457079972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- FAMILY TYES INC
- Practice address
- 6017 Hillcrest St
Detroit, MI 48236-2154 - Phone
- (313) 790-4032
- NPI assigned
- Aug 19, 2022
- 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
- Sheryl Carson
- Title
- President
- Phone
- (248) 789-8766
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Assisted Living Facility (Mental Illness) | 3104A0625X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X |
Addresses
Primary practice location
6017 Hillcrest St
Detroit, MI 48236-2154
Mailing address
6795 Glenway Dr
W Bloomfield, MI 48322-3910
Phone (248) 789-8766
Other practice location 1
7640 Dexter Ave
Detroit, MI 48206-2518
Phone (313) 790-4032
Other practice location 2
16835 Livernois Ave
Detroit, MI 48221-3037
Phone (313) 790-4032
Other practice location 3
7712 Dexter Ave
Detroit, MI 48206-2306
Phone (313) 790-4032
Other practice location 4
873 Lakewood St
Detroit, MI 48215-2944
Phone (313) 790-4032
National Provider Directory
National Provider DirectoryLocations
16835 Livernois Ave
Detroit, MI 48221
Phone (313) 790-4032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660867200000",
"number": "1457079972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6795 GLENWAY DR",
"city": "W BLOOMFIELD",
"state": "MI",
"postal_code": "483223910",
"telephone_number": "248-789-8766",
"fax_number": "805-299-4989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6017 HILLCREST ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482362154",
"telephone_number": "313-790-4032"
}
],
"practiceLocations": [
{
"address_1": "7640 Dexter Ave",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482062518",
"country_code": "US",
"telephone_number": "313-790-4032",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16835 Livernois Ave",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482213037",
"country_code": "US",
"telephone_number": "313-790-4032",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7712 Dexter Ave",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482062306",
"country_code": "US",
"telephone_number": "313-790-4032",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "873 Lakewood St",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482152944",
"country_code": "US",
"telephone_number": "313-790-4032",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FAMILY TYES INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-19",
"last_updated": "2022-08-19",
"certification_date": "2022-08-19",
"status": "A",
"authorized_official_last_name": "CARSON",
"authorized_official_first_name": "SHERYL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-789-8766"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
}
],
"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 Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.