Active NPI
New Advantage Inc.
- Adult Care Home Facility
- Detroit, MI
National Provider Identifier
1578083077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- AS820388077
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.