Ebrima Drammeh

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

AF410402484 Issued in MI

Practice address

1531 Giddings Ave SE Apt 1
Grand Rapids, MI 49507-2222

Phone

(269) 447-5460

NPI assigned

Apr 1, 2021

Last updated

Apr 1, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1558949206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 GIDDINGS AVE SE APT 1",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495072222",
            "telephone_number": "269-447-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 GIDDINGS AVE SE APT 1",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495072222",
            "telephone_number": "269-447-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAMMEH",
        "first_name": "EBRIMA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AF410402484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFC LICENSE",
            "identifier": "AF410402484",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce Douglas Dragoo, MD
• Derrin Dwayne Drake, LMSW
• Lea Drake, BSN, RN
• Martinique Deshay Drake
• Syreeta Drake, MSN, APRN, PMHNP-BC
• Paige Lindsley Draper
• Lauren Ashley Drapiza, PA
• Heather Lynn Drayton, CCC-SLP
• Charles D Draznin, MD
• DRC Enterprises LLC (Community Home Care)

• Adult Care Home Facility in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.