Organization Active NPI

Family Tyes Inc

  • In Home Supportive Care Agency
  • Detroit, MI
National Provider Identifier
1457079972
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Aug 19, 2022

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.