Organization Active NPI

Damon's House Inc.

  • Developmentally Disabled Services Day Training Agency
  • Detroit, MI
National Provider Identifier
1841386224
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
383016540 Issued in MI
Legal business name
DAMON'S HOUSE INC.
Practice address
11900 E McNichols Rd
Detroit, MI 48205-3357
Phone
(313) 245-2731
Fax
(313) 245-2734
NPI assigned
Oct 5, 2006
Last updated
Sep 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2009

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

Authorized official

Name
Dr. Lerrlyn Nelson, PH.D
Title
Founder
Phone
(313) 245-2731

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 383016540 MI Primary
Private Vehicle 347C00000X 383016540 MI
Social Worker 104100000X 6801009243 MI

Addresses

Primary practice location

11900 E McNichols Rd
Detroit, MI 48205-3357

Mailing address

11900 E McNichols Rd
Detroit, MI 48205-3357
Phone (313) 245-2731

National Provider Directory

National Provider Directory

Locations

11900 E McNichols Rd
Detroit, MI 48205
Phone (313) 245-2731

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1841386224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 E MCNICHOLS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482053357",
            "telephone_number": "313-245-2731",
            "fax_number": "313-245-2734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 E MCNICHOLS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482053357",
            "telephone_number": "313-245-2731",
            "fax_number": "313-245-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMON'S HOUSE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "LERRLYN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "313-245-2731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MI",
            "license": "383016540",
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "MI",
            "license": "383016540",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801009243",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 2, 2009; 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.