Branmira's House

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

AS820295652 Issued in MI

Legal business name

BRANMIRA'S HOUSE

Practice address

17290 Shaftsbury Ave
Detroit, MI 48219-3591

Phone

(313) 538-8273

Fax

(313) 538-8273

NPI assigned

Jul 25, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Charles R Watson

Title

It Manager

Phone

(313) 538-8273

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311552000000",
    "number": "1922386986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17290 SHAFTSBURY AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482193591",
            "telephone_number": "313-538-8273",
            "fax_number": "313-538-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17290 SHAFTSBURY AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482193591",
            "telephone_number": "313-538-8273",
            "fax_number": "313-538-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANMIRA'S HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-25",
        "last_updated": "2011-07-25",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "IT MANAGER",
        "authorized_official_telephone_number": "313-538-8273",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "MI",
            "license": "AS820295652",
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "MI",
            "license": "AS820295652",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AS820295652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Brandon, BS
• Porsha Ronnaye Phylicia Brandon
• Allison Brandt
• Karen Brandt, MSW
• Karen Braniff, NP
• Gemma Bransdorfer, LLMSW
• Brandy Shaney Brantley-Rhodes
• Brandy Sheri Brantley, LMT
• Janis Brantley, RN
• Jasmyne Brantley, LLMSW

• Adult Care Home Facility in Detroit, MI
• Providers in Detroit, MI by specialty
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; 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.