P & C Adult Day Center LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

P & C ADULT DAY CENTER LLC

Practice address

8537 Van Dyke St
Suite 100
Detroit, MI 48213-2374

Phone

(313) 220-0393

NPI assigned

Jul 21, 2010

Organization subpart

No

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

Authorized official

Name

Miss Sharmisha Hicks

Title

Owner

Phone

(313) 220-0393

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1790098663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51614 RIVARD RD",
            "city": "NEW BALTIMORE",
            "state": "MI",
            "postal_code": "480476511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8537 VAN DYKE ST",
            "address_2": "SUITE 100",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482132374",
            "telephone_number": "313-220-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P & C ADULT DAY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-21",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "SHARMISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-220-0393",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.