Organization Active NPI

Wimby Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Detroit, MI
National Provider Identifier
1891872792
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
WIMBY INC
Practice address
6045 Kensington Ave
Detroit, MI 48224-2072
Phone
(734) 718-0427
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Nancy L. Kelly Neusel
Title
Administrator
Phone
(734) 718-0427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X MI Primary

Addresses

Primary practice location

6045 Kensington Ave
Detroit, MI 48224-2072

Mailing address

6045 Kensington Ave
Detroit, MI 48224-2072
Phone (734) 718-0427

Other names 1

  • CLEO EMILY AFC HOME Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891872792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6045 KENSINGTON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482242072",
            "telephone_number": "734-718-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6045 KENSINGTON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482242072",
            "telephone_number": "734-718-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIMBY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLY NEUSEL",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "734-718-0427",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLEO EMILY AFC HOME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 22, 2020; 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.