Kathleen Burcusel

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AS820283452 Issued in MI

Practice address

18700 Deering St
Livonia, MI 48152-3735

Phone

(248) 777-0015

NPI assigned

Nov 11, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Deering Street Community Living & Respite Center LLC

  • Assisted Living Facility
  • Livonia, MI
  • NPI 1275248577
  NPD

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

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1750099404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18700 DEERING ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523735",
            "telephone_number": "248-777-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18700 DEERING ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523735",
            "telephone_number": "248-777-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCUSEL",
        "first_name": "KATHLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-11",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AS820283452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Desktop",
            "affiliation": "N",
            "endpointDescription": "used in my office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "18700 Deering St",
            "city": "Livonia",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481523735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Matthew Brooks Bulkley, MD
• Jennifer Bullard, NP
• James Mack Bumford, D.D.S.
• Beth Bunn, LCSW, LMSW, CCMSW
• Kyara Burch
• Heather Burger
• Lisa Burgess, COTA
• Sandra Burgett
• Richard Burk III
• Erica Burke

• Assisted Living Facility in Livonia, MI
• Providers in Livonia, MI by specialty
• Assisted Living Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.