Holy Temple Church Adult Day Care Center

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

HOLY TEMPLE CHURCH ADULT DAY CARE CENTER

Doing business as

HTC Adult Day Care Center

Practice address

19346 Middlesex Ave
Southfield, MI 48076-4439

Phone

(313) 465-0655

NPI assigned

Jan 13, 2016

Organization subpart

Yes

Parent organization

HOLY TEMPLE CHURCH OF THE LIVING GOD IN JESUS W.C.,INCAs reported in NPPES

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

Authorized official

Name

Mrs. Pamela Dixon

Title

Pastor/Ceo

Phone

(313) 465-0655

Specialties & licenses 3

Addresses

Other names 1

• HTC Adult Day Care Center Doing business as

Locations

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1649636119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8590 ESPER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482043183",
            "telephone_number": "313-465-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19346 MIDDLESEX AVE",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764439",
            "telephone_number": "313-465-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY TEMPLE CHURCH ADULT DAY CARE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOLY TEMPLE CHURCH OF THE LIVING GOD IN JESUS W.C.,INC",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "PASTOR/CEO",
        "authorized_official_telephone_number": "313-465-0655",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HTC Adult Day Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Developmentally Disabled Services Day Training Agency in Southfield, MI
• Providers in Southfield, MI by specialty
• Developmentally Disabled Services Day Training Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.