Organization Active NPI

Quintrijean Adult Care Incoporated

  • Adult Day Care Clinic/Center
  • Romulus, MI
National Provider Identifier
1679953947
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
QUINTRIJEAN ADULT CARE INCOPORATED
Practice address
35947 Goddard Rd
Romulus, MI 48174-3805
Phone
(313) 334-1536
NPI assigned
Jun 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Authorized official

Name
Mrs. Jeanette Walton
Title
President/Ceo
Phone
(313) 334-1536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

35947 Goddard Rd
Romulus, MI 48174-3805

Mailing address

35947 Goddard Rd
Romulus, MI 48174-3805
Phone (313) 334-1536

National Provider Directory

National Provider Directory

Locations

35947 Goddard Rd
Romulus, MI 48174
Phone (313) 334-1536

4609 S Wayne Rd
Wayne, MI 48184
Phone (734) 992-3041

NPI Registry JSON

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1679953947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35947 GODDARD RD",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481743805",
            "telephone_number": "313-334-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35947 GODDARD RD",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481743805",
            "telephone_number": "313-334-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINTRIJEAN ADULT CARE INCOPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-02",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "313-334-1536",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Romulus, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.