My Beloved Group Home

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

AS630309555 Issued in MI

Legal business name

MY BELOVED GROUP HOME

Doing business as

My Beloved Home

Practice address

24260 Radclift St
Oak Park, MI 48237-1558

Phone

(248) 470-0063

Fax

(248) 565-8527

NPI assigned

Nov 14, 2011

Last updated

Nov 14, 2011By 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

Mrs. Theressa Antionette Nelson

Title

Administrator

Phone

(248) 470-0063

Specialties & licenses 1

Addresses

Other names 1

• My Beloved Home Doing business as

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1841577103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24260 RADCLIFT ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371558",
            "telephone_number": "248-470-0063",
            "fax_number": "248-565-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24260 RADCLIFT ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371558",
            "telephone_number": "248-470-0063",
            "fax_number": "248-565-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY BELOVED GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "THERESSA",
        "authorized_official_middle_name": "ANTIONETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-470-0063",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MI",
            "license": "AS630309555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Beloved Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Duncan Koti Mukeku, D.C
• Brittany Murphy
• Kisha D Murray-Dread, DPM
• James Arthur Murray, D.D.S.
• Tomika Roschelle Murry, LLPC
• National Physical Therapy & Rehab, Inc
• Udoka K Ndukwe, PA-C
• Neighborhood Home Care
• Network Medical & Therapeutic Services, P.C. (Network Medical Clinics)
• Network Medical Services, PLLC

• Mental Illness Community Based Residential Treatment Facility in Oak Park, MI
• Providers in Oak Park, MI by specialty
• Mental Illness Community Based Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.