Active NPI
Berthas Human Services
- Adult Companion
- Detroit, MI
National Provider Identifier
1861249039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Legal business name
- BERTHAS HUMAN SERVICES
- Practice address
- 20220 Gilchrist St
Detroit, MI 48235-2116 - Phone
- (313) 622-6386
- NPI assigned
- May 4, 2024
- 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
- Ms. Sebrena Moore
- Title
- Owner/Administrator
- Phone
- (313) 622-6386
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | Primary |
Addresses
Primary practice location
20220 Gilchrist St
Detroit, MI 48235-2116
Mailing address
20220 Gilchrist St
Detroit, MI 48235-2116
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714780800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714780800000",
"number": "1861249039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20220 GILCHRIST ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482352116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20220 GILCHRIST ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482352116",
"telephone_number": "313-622-6386"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BERTHAS HUMAN SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-04",
"last_updated": "2024-05-04",
"certification_date": "2024-05-04",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "SEBRENA",
"authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
"authorized_official_telephone_number": "313-622-6386",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": true
}
],
"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 May 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.