Active NPI
Damon's House Inc.
- Developmentally Disabled Services Day Training Agency
- Detroit, MI
National Provider Identifier
1841386224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- 383016540
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.