Active NPI
Adrienne Flowers
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Detroit, MI
National Provider Identifier
1912481235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- AS820288859
- Practice address
- 18403 Kentucky St
Detroit, MI 48221-2029 - Phone
- (313) 215-2303
- NPI assigned
- Sep 21, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | AS820341954 | MI | |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | AS820288859 | MI | Primary |
Addresses
Primary practice location
18403 Kentucky St
Detroit, MI 48221-2029
Mailing address
29350 Marimoor Dr
Southfield, MI 48076-1615
Phone (313) 334-1953
Other practice location 1
19163 Woodingham Dr
Detroit, MI 48221-1650
Phone (313) 334-1953
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
| License | State | Type | Specialty |
|---|---|---|---|
| AS820288859 | MI | MD | Intellectual and/or Developmental Disabilities Residential Treatment Facility |
| AS820341954 | MI | MD | Intellectual and/or Developmental Disabilities Residential Treatment Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alternative Adult Residence Inc. | Residential Treatment Facility, Intellectual and/Or Developmental Disabilities | Past | Accepting new patients |
| Alternative Adult Residence LLC | Residential Treatment Facility, Intellectual and/Or Developmental Disabilities | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Detroit, MI
- NPI 1053879718
Residential Treatment Facility, Intellectual and/Or Developmental Disabilities
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Detroit, MI
- NPI 1518428333
Residential Treatment Facility, Intellectual and/Or Developmental Disabilities
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537488000000",
"number": "1912481235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29350 MARIMOOR DR",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480761615",
"telephone_number": "313-334-1953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18403 KENTUCKY ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482212029",
"telephone_number": "313-215-2303"
}
],
"practiceLocations": [
{
"address_1": "19163 Woodingham Dr",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482211650",
"country_code": "US",
"telephone_number": "313-334-1953",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLOWERS",
"first_name": "ADRIENNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-21",
"last_updated": "2018-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "MI",
"license": "AS820341954",
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "MI",
"license": "AS820288859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.