Organization Active NPI

ABA Adult Day Care LLC

  • Developmentally Disabled Services Day Training Agency
  • Center Line, MI
National Provider Identifier
1780095984
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
ABA ADULT DAY CARE LLC
Practice address
24574 Colin Kelly
Center Line, MI 48015-1722
Phone
(248) 277-6889
NPI assigned
May 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Authorized official

Name
Irina DennertNPI 1639571433
Title
Manager
Phone
(248) 277-6889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
In Home Supportive Care Agency 253Z00000X MI

Addresses

Primary practice location

24574 Colin Kelly
Center Line, MI 48015-1722

Mailing address

24574 Colin Kelly
Center Line, MI 48015-1722
Phone (248) 277-6889

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1780095984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24574 COLIN KELLY",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151722",
            "telephone_number": "248-277-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24574 COLIN KELLY",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151722",
            "telephone_number": "248-277-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA ADULT DAY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-12",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "DENNERT",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-277-6889"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Line, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.