Active NPI
Olivia Jean Flowers
- Foster Care Agency
- Detroit, MI
National Provider Identifier
1467919688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foster Care Agency
- License
- AM820079488
- Practice address
- 119 Pingree St
Detroit, MI 48202-2021 - Phone
- (313) 656-4077
- NPI assigned
- Feb 24, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Meals Provider | 174200000X | 1742000000X | MI | |
| Lodging Provider | 177F00000X | 177F000000X | MI | |
| Nursing Care Agency | 251J00000X | 251J0000X | MI | |
| Community/Behavioral Health Agency | 251S00000X | 251S0000000X | MI | |
| Mental Illness Intermediate Care Facility | 310500000X | 3105000000X | MI | |
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 315P000000X | MI | |
| Non-emergency Medical Transport (VAN) | 343900000X | 3439000000X | MI | |
| Foster Care Agency | 253J00000X | AM820079488 | MI | Primary |
Addresses
Primary practice location
119 Pingree St
Detroit, MI 48202-2021
Mailing address
PO Box 2922
Detroit, MI 48202-0952
Phone (313) 656-4077
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6306779 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1742000000X | MI | MD | Meals Provider |
| 177F000000X | MI | MD | Lodging Provider |
| 251J0000X | MI | MD | Nursing Care Agency |
| 251S0000000X | MI | MD | Community/Behavioral Health Agency |
| AM820079488 | MI | MD | Foster Care Agency |
| 3105000000X | MI | MD | Mental Illness Intermediate Care Facility |
| 315P000000X | MI | MD | Intellectual Disabilities Intermediate Care Facility |
| 3439000000X | MI | MD | Non-emergency Medical Transport (VAN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550966400000",
"number": "1467919688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2922",
"city": "DETROIT",
"state": "MI",
"postal_code": "482020952",
"telephone_number": "313-656-4077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 PINGREE ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482022021",
"telephone_number": "313-656-4077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOWERS",
"first_name": "OLIVIA",
"middle_name": "JEAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-24",
"last_updated": "2019-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": "MI",
"license": "1742000000X",
"primary": false
},
{
"code": "177F00000X",
"taxonomy_group": "",
"desc": "Lodging",
"state": "MI",
"license": "177F000000X",
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "MI",
"license": "251J0000X",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MI",
"license": "251S0000000X",
"primary": false
},
{
"code": "310500000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Mental Illness",
"state": "MI",
"license": "3105000000X",
"primary": false
},
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "MI",
"license": "315P000000X",
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "MI",
"license": "3439000000X",
"primary": false
},
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": "MI",
"license": "AM820079488",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6306779",
"state": "MI"
}
],
"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 Feb 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.