Detroit Family Home

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

AS820338244 Issued in MI

Legal business name

DETROIT FAMILY HOME

Practice address

17180 Indiana St
Detroit, MI 48221-2445

Phone

(313) 270-7751

Fax

(313) 270-7291

NPI assigned

Aug 13, 2013

Last updated

Jun 9, 2026By 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

Mr. Jean Felix Nyambio, CRNA

Title

Ceo

Phone

(301) 332-3609

Specialties & licenses 7

Addresses

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1609209634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17356 W 12 MILE RD STE 202",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480766316",
            "telephone_number": "301-332-3609",
            "fax_number": "313-270-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17180 INDIANA ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212445",
            "telephone_number": "313-270-7751",
            "fax_number": "313-270-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETROIT FAMILY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-13",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "NYAMBIO",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "FELIX",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-332-3609",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "MI",
            "license": "AS820338244",
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AS820338244",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": "AS820338244",
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "MI",
            "license": "AS820338244",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MI",
            "license": "AS820338244",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "MI",
            "license": "AS820338244",
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "MI",
            "license": "AS820338244",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.