Ken's Krew Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

KEN'S KREW INC

Practice address

421 Park Drive
Clawson, MI 48017

Phone

(248) 561-0918

NPI assigned

Apr 11, 2022

Last updated

Apr 11, 2022By 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

Terri Neipert

Title

Ceo

Phone

(646) 265-7060

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1831831890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 358",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480170358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 PARK DRIVE",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "48017",
            "telephone_number": "248-561-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEN'S KREW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "NEIPERT",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-265-7060"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Clawson, MI
• Providers in Clawson, MI by specialty
• Developmentally Disabled Services Day Training Agency in Michigan

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