Kevdaco Human Servicea LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

KEVDACO HUMAN SERVICEA LLC

Practice address

23999 Northwestern Hwy
Suite 200
Southfield, MI 48075-2578

Phone

(248) 569-1040

Fax

(248) 569-1310

NPI assigned

Jan 26, 2011

Last updated

Jan 26, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin E Uwazurike

Title

President

Phone

(248) 569-1040

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1770889529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23999 NORTHWESTERN HWY",
            "address_2": "SUITE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752578",
            "telephone_number": "248-569-1040",
            "fax_number": "248-569-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23999 NORTHWESTERN HWY",
            "address_2": "SUITE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752578",
            "telephone_number": "248-569-1040",
            "fax_number": "248-569-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVDACO HUMAN SERVICEA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "UWAZURIKE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-569-1040",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Kerr, RN,NP
• Marc D Keshishian, MD
• Manish N Kesliker, M.D.
• Osama Potres Kesto, DMD, MS
• Kellie Nichole Kett
• Kevin Nolan MD PC
• Kevin V. Barber, PHD, Mba, PC
• Nihad Kewson, MD
• Percy Key, CSW
• Keys of Empowerment Counseling LLC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Southfield, MI
• Providers in Southfield, MI by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.