Tito Timmons Bentley

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Practice address

19309 Greenfield Rd
Detroit, MI 48235-2004

Phone

(313) 300-7177

NPI assigned

Feb 27, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Michigan Adult Empowerment Center, LLC

  • Adult Day Care Clinic/Center
  • Detroit, MI
  • NPI 1528569209
  NPD (past) Authorized official

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1730680406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25681 CODE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480335813",
            "telephone_number": "313-300-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19309 GREENFIELD RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352004",
            "telephone_number": "313-300-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "TITO",
        "middle_name": "TIMMONS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benstar Pharmacy PLLC
• Ansariah Bent-Musafir
• Eileen Bent, PHD
• Brandie Bentley, PHD, MSW
• Marquise Bentley
• Benton'S Absolute Care
• Daniel J Benz, M.D.
• Lisa Anne Benz, MD
• Tessa Benziger, LMSW
• Gerold Bepler, MD

• Adult Day Care Clinic/Center in Detroit, MI
• Providers in Detroit, MI by specialty
• Adult Day Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; 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.