Individual provider Active NPI

Adrienne Flowers

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Detroit, MI
National Provider Identifier
1912481235
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
AS820288859 Issued in MI
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

Updated by the provider on Sep 21, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
AS820288859MIMDIntellectual and/or Developmental Disabilities Residential Treatment Facility
AS820341954MIMDIntellectual and/or Developmental Disabilities Residential Treatment Facility

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.