Residential Outreach Community Center

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

RESIDENTIAL OUTREACH COMMUNITY CENTER

Practice address

6795 Glenway Dr
West Bloomfield, MI 48322-3910

Phone

(313) 790-4032

NPI assigned

Jun 6, 2024

Organization subpart

No

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

Authorized official

Name

Sheryl CarsonNPI 1871975870

Title

Owner

Phone

(313) 790-4032

Specialties & licenses 2

Addresses

Practitioners 1

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

• Sheryl Carson

  • Home Health Agency
  • Detroit, MI
  • NPI 1871975870
  NPD Authorized official

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1548001035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6795 GLENWAY DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223910",
            "telephone_number": "313-790-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6795 GLENWAY DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223910",
            "telephone_number": "313-790-4032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESIDENTIAL OUTREACH COMMUNITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-790-4032"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "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": []
}

• Hannah Reinker, C.N.M.
• Relationship Times
• Reliance Medical Group - Detroit
• James D Relle, MD
• Chrysanthe Renieris, OTR/L
• Resolution Counseling and Therapy Services, PLLC
• Resurgence Physical Therapy Services PC
• Revelry Wellness, LLC
• Claire Reynolds
• Mahnaz Rezazadegan, PT

• Mental Illness Community Based Residential Treatment Facility in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Mental Illness Community Based Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.