Organization Active NPI

K&K Assisted

  • Adult Mental Health Clinic/Center
  • Detroit, MI
National Provider Identifier
1649354606
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
K&K ASSISTED
Practice address
12060 Indiana St
Detroit, MI 48204-1084
Phone
(313) 931-3600
Fax
(313) 933-3603
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Milton Lewis Kennedy
Title
Administrator/Owner
Phone
(313) 931-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

12060 Indiana St
Detroit, MI 48204-1084

Mailing address

PO Box 27560
Detroit, MI 48227-0560
Phone (313) 931-3600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649354606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27560",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482270560",
            "telephone_number": "313-931-3600",
            "fax_number": "313-933-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12060 INDIANA ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482041084",
            "telephone_number": "313-931-3600",
            "fax_number": "313-933-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K&K ASSISTED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "MILTON",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "313-931-3600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "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 Aug 22, 2020; 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.