Tyshaun Bland, B.S; M.A

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

19927 Country Club
Harper Woods, MI 48225-1154

Phone

(313) 627-8719

Fax

(313) 216-1776

NPI assigned

Sep 12, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clean and Comfort LLC

  • Chore Provider
  • Harper Woods, MI
  • NPI 1184281800
  NPD (past) Authorized official

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1902207624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19927 COUNTRY CLUB DR",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251621",
            "telephone_number": "313-627-8719",
            "fax_number": "313-216-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19927 COUNTRY CLUB",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251154",
            "telephone_number": "313-627-8719",
            "fax_number": "313-216-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAND",
        "first_name": "TYSHAUN",
        "credential": "B.S; M.A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-12",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "2-01445",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elyse Marie Bender
• Alesha Simone Biggs
• Keith Maurice Binion, M.ED., CPHT, CCHW
• Bio-Medical Applications of Michigan, Inc. (Fresenius Medical Care of St. Clair Shores)
• Joshua Bishop
• Blessed Care (Blessed Care Nurse Staffing)
• Dana Renee Bongiorno
• Carol Borowski, AGPCNP-BC
• Ashley Lynette Bowden, FNP-BC
• Angela Bozell

• Other Technician in Harper Woods, MI
• Providers in Harper Woods, MI by specialty
• Other Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.