Simeon'S Rest Adult Day Program

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

SIMEON'S REST ADULT DAY PROGRAM

Practice address

46500 N Territorial Rd
Plymouth, MI 48170-3066

Phone

(734) 207-9673

NPI assigned

Oct 14, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Grace D. Holness, B/A OF SCIENCE

Title

Director

Phone

(734) 560-5872

Specialties & licenses 1

Addresses

Other names 1

• Simeon's Rest Adult Day Program Former legal business name

Tax ID family

Living Word Lutheran Church2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Living Word Lutheran Church

  • Home Health Aide
  • Plymouth, MI
  • NPI 1174136568
  NPD tax ID

Locations

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571011200000",
    "number": "1902448731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46500 N TERRITORIAL RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481703066",
            "telephone_number": "734-560-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46500 N TERRITORIAL RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481703066",
            "telephone_number": "734-207-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMEON'S REST ADULT DAY PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "status": "A",
        "authorized_official_last_name": "HOLNESS",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "734-560-5872",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "B/A OF SCIENCE"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simeon's Rest Adult Day Program",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Amber Sikora
• Jacqueline Silva
• Saranda Silvenis
• Kathleen A Silver
• Sarah Silver
• Alexandria Simich
• Abigail Simmons
• Diamond Simmons
• Emma Simon, MS
• Simply Counseling

• Adult Day Care Clinic/Center in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Adult Day Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.