Dynamic Care Group LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

DYNAMIC CARE GROUP LLC

Practice address

20520 Sunderland Rd
Detroit, MI 48219-1401

Phone

(313) 740-7335

NPI assigned

Jun 21, 2023

Last updated

Jun 21, 2023By 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

Nichole BarnettNPI 1952011181

Title

Owner

Phone

(313) 770-7030

Specialties & licenses 4

Addresses

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.

• Nichole Barnett

  • In Home Supportive Care Agency
  • Detroit, MI
  • NPI 1952011181

  Chore Provider

  NPD Authorized official

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1578248910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20520 SUNDERLAND RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482191401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20520 SUNDERLAND RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482191401",
            "telephone_number": "313-740-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC CARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-770-7030"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shauntel Dye
• Steven R Dye
• Tanjanique Dye, DIRECT CARE WORKER
• Tanya Dye, MSW, LLMSW
• Alexander James-Robert Dyke, DMD
• Dynamic Rehab Services Inc
• Dynamic Teaching
• Dynasty Physical Therpay and Rehabilitation, PC
• Dynasty Senior Center
• Casandra Dysard

• Adult Care Home Facility in Detroit, MI
• Providers in Detroit, 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 Jun 21, 2023; 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.