Organization Active NPI

Jodes Foster Family Home

  • Foster Care Agency
  • Ypsilanti, MI
National Provider Identifier
1902502255
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Legal business name
JODES FOSTER FAMILY HOME
Practice address
3242 Golfside Rd
Ypsilanti, MI 48197-3720
Phone
(734) 709-3784
Fax
(734) 761-3936
NPI assigned
Feb 7, 2023
Organization subpart
Yes
Parent organization
JODES FOSTER FAMILY HOMEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Authorized official

Name
Mr. Des Desese Des Sr.
Title
Adminstrator
Phone
(734) 709-3784

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X Primary

Addresses

Primary practice location

3242 Golfside Rd
Ypsilanti, MI 48197-3720

Mailing address

3242 Golfside Rd
Ypsilanti, MI 48197-3720
Phone (734) 709-3784

Other names 1

  • N/A Doing business as

National Provider Directory

National Provider Directory
Part of
Jodes Foster Family Home

NPI Registry JSON

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1902502255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3242 GOLFSIDE RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481973720",
            "telephone_number": "734-709-3784",
            "fax_number": "734-761-3936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3242 GOLFSIDE RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481973720",
            "telephone_number": "734-709-3784",
            "fax_number": "734-761-3936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JODES FOSTER FAMILY HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JODES FOSTER FAMILY HOME",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "DES",
        "authorized_official_first_name": "DES",
        "authorized_official_middle_name": "DESESE",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "734-709-3784",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.