Organization Active NPI

Our Parents Adult Day Treatment LLC

  • Clinical Social Worker
  • Eastpointe, MI
National Provider Identifier
1730630062
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
OUR PARENTS ADULT DAY TREATMENT LLC
Practice address
17115 E 9 Mile Rd
Eastpointe, MI 48021-2552
Phone
(586) 200-5499
Fax
(586) 200-5115
NPI assigned
Oct 21, 2016
Last updated
Oct 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Authorized official

Name
Mrs. Dianna L Hawkins Greathouse
Title
Director
Phone
(586) 200-5499

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X MI
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X MI Primary

Addresses

Primary practice location

17115 E 9 Mile Rd
Eastpointe, MI 48021-2552

Mailing address

17115 E 9 Mile Rd
Eastpointe, MI 48021-2552
Phone (586) 200-5499

National Provider Directory

National Provider Directory

Locations

17115 E 9 Mile Rd
Eastpointe, MI 48021
Phone (586) 200-5499

NPI Registry JSON

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1730630062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17115 E 9 MILE RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480212552",
            "telephone_number": "586-200-5499",
            "fax_number": "586-200-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17115 E 9 MILE RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480212552",
            "telephone_number": "586-200-5499",
            "fax_number": "586-200-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR PARENTS ADULT DAY TREATMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "HAWKINS GREATHOUSE",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "586-200-5499",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastpointe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.