Domel Incorporated

Primary specialty

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

Legal business name

DOMEL INCORPORATED

Practice address

39293 Plymouth Rd Ste 112
Livonia, MI 48150-1060

Phone

(734) 632-0125

Fax

(734) 632-0126

NPI assigned

May 20, 2007

Organization subpart

No

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

Authorized official

Name

Shawn Timothy BrownNPI 1083129340

Title

Executive Program Manager

Phone

(734) 632-0125

Specialties & licenses 10

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shawn Timothy Brown

  • Home Health Aide
  • Livonia, MI
  • NPI 1083129340
  NPD (past) Authorized official

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467660688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39293 PLYMOUTH RD STE 112",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501060",
            "telephone_number": "734-632-0125",
            "fax_number": "734-632-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39293 PLYMOUTH RD STE 112",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501060",
            "telephone_number": "734-632-0125",
            "fax_number": "734-632-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMEL INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "EXECUTIVE PROGRAM MANAGER",
        "authorized_official_telephone_number": "734-632-0125"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
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        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
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        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
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        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
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        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
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        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
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        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
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        },
        {
            "code": "320900000X",
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    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxwell Edem Dogbatse, CRNA
• Dairrai Doliber, LLPC
• Gabrielle Dolin, MA
• Michael Doman, PHARMD
• Sean Domas, PSY.D
• Jessica Domina
• Danmar T Domingo, CNP
• Monika Domke, LMSW
• Victoria F Domond
• Domus Vita

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Livonia, MI
• Providers in Livonia, 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 Aug 22, 2020; 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.