Michigan Adult Empowerment Center, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

MICHIGAN ADULT EMPOWERMENT CENTER, LLC

Practice address

19309 Greenfield Rd
Detroit, MI 48235-2004

Phone

(313) 300-7177

NPI assigned

Feb 27, 2018

Last updated

Feb 27, 2018By 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. Tito Timmons BentleyNPI 1730680406

Title

Owner

Phone

(313) 300-7177

Specialties & licenses 1

Addresses

Other names 1

• MICHIGAN ADULT EMPOWERMENT DAYCARE CENTER, LLC Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tito Timmons Bentley

  • Adult Day Care Clinic/Center
  • Detroit, MI
  • NPI 1730680406
  NPD (past) Authorized official

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519689600000",
    "number": "1528569209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25681 CODE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480335813",
            "telephone_number": "313-300-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19309 GREENFIELD RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352004",
            "telephone_number": "313-300-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN ADULT EMPOWERMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A",
        "authorized_official_last_name": "BENTLEY",
        "authorized_official_first_name": "TITO",
        "authorized_official_middle_name": "TIMMONS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-300-7177",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MICHIGAN ADULT EMPOWERMENT DAYCARE CENTER, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marguerite Inge Michels, N.P.
• Mackenzie Michie, PA-C
• Sarah Marie Michienzi, PHARMD
• Michigan 1 Residential Home Care
• Michigan ABA Providers Inc
• Michigan Applied Behavior Analysis LLC
• Michigan Behavioral Wellness LLC
• Michigan Bone and Mineral Clinic, P.C.
• Michigan BS Opco LLC
• Michigan Department of Corrections

• Adult Day Care Clinic/Center in Detroit, MI
• Providers in Detroit, MI by specialty
• Adult Day Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; 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.