Organization Active NPI

New Advantage Inc.

  • Adult Care Home Facility
  • Detroit, MI
National Provider Identifier
1578083077
Registry record updated Jun 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
AS820388077 Issued in MI
Legal business name
NEW ADVANTAGE INC.
Practice address
15375 Ardmore St
Detroit, MI 48227-3222
Phone
(313) 829-3034
NPI assigned
Jun 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2017

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

Authorized official

Name
Sireece Bass
Title
President
Phone
(313) 829-3034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X AS820388077 MI Primary

Addresses

Primary practice location

15375 Ardmore St
Detroit, MI 48227-3222

Mailing address

19964 Stout St
Detroit, MI 48219-2017

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498435200000",
    "number": "1578083077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19964 STOUT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482192017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15375 ARDMORE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482273222",
            "telephone_number": "313-829-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ADVANTAGE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-26",
        "last_updated": "2017-06-26",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "SIREECE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-829-3034"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AS820388077",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 26, 2017; 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.