28230 Somerset Residence LLC

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

Legal business name

28230 SOMERSET RESIDENCE LLC

Doing business as

28230 Somerset Residence LLC

Practice address

28230 Somerset St
Inkster, MI 48141-1167

Phone

(313) 473-0042

NPI assigned

Jul 28, 2023

Last updated

Jul 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Vernon Crump Sr.

Title

Owner

Phone

(313) 473-0042

Specialties & licenses 1

Addresses

Other names 1

• 28230 Somerset Residence LLC Doing business as

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1487335741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28230 SOMERSET ST",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481411167",
            "telephone_number": "313-473-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28230 SOMERSET ST",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481411167",
            "telephone_number": "313-473-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "28230 SOMERSET RESIDENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-28",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "CRUMP",
        "authorized_official_first_name": "VERNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-473-0042",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "28230 Somerset Residence LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.