Organization Active NPI

Detroit Residential Development Services LLC

  • Home Health Aide
  • Detroit, MI
National Provider Identifier
1811348659
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
DETROIT RESIDENTIAL DEVELOPMENT SERVICES LLC
Practice address
15370 Forrer St
Detroit, MI 48227-2329
Phone
(313) 736-3517
Fax
(313) 736-3517
NPI assigned
Jun 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Authorized official

Name
Mr. Tokaro Dejuan WarrenNPI 1215480892
Title
Ceo
Phone
(248) 636-8056

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chore ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 372500000X MI
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X MI
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X MI Primary
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X MI

Addresses

Primary practice location

15370 Forrer St
Detroit, MI 48227-2329

Mailing address

15370 Forrer St
Detroit, MI 48227-2329
Phone (313) 736-3517

Other names 1

  • DRDS Doing business as

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": "1466640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1811348659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15370 FORRER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482272329",
            "telephone_number": "313-736-3517",
            "fax_number": "313-736-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15370 FORRER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482272329",
            "telephone_number": "313-736-3517",
            "fax_number": "313-736-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETROIT RESIDENTIAL DEVELOPMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-23",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "TOKARO",
        "authorized_official_middle_name": "DEJUAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-636-8056",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DRDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.