Individual provider Active NPI

Cassandra Y Strode, ADULT FOSTER CARE

  • Adult Care Home Facility
  • Southgate, MI
National Provider Identifier
1881582203
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
AS820418915 Issued in MI
Practice address
16035 Allen Rd
Southgate, MI 48195-2923
Phone
(734) 258-8073
NPI assigned
Jun 25, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X AS820418915 MI Primary

Addresses

Primary practice location

16035 Allen Rd
Southgate, MI 48195-2923

Mailing address

19497 Cheyenne St
Detroit, MI 48235-1218
Phone (317) 965-0915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AS820418915MIMDAdult Care Home Facility

NPI Registry JSON

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

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1881582203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19497 CHEYENNE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482351218",
            "telephone_number": "317-965-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16035 ALLEN RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952923",
            "telephone_number": "734-258-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRODE",
        "first_name": "CASSANDRA",
        "middle_name": "Y",
        "credential": "ADULT FOSTER CARE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AS820418915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southgate, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.