Brianna'S Home

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

AS820083566 Issued in MI

Legal business name

BRIANNA'S HOME

Practice address

16131 Linwood St
Detroit, MI 48221-3122

Phone

(313) 345-3199

Fax

(313) 345-3610

NPI assigned

Apr 24, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Antonio Lafeve Ball

Title

Provider

Phone

(313) 657-4282

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1922442607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16131 LINWOOD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482213122",
            "telephone_number": "313-345-3199",
            "fax_number": "313-345-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16131 LINWOOD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482213122",
            "telephone_number": "313-345-3199",
            "fax_number": "313-345-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIANNA'S HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "LAFEVE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "313-657-4282",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "MI",
            "license": "AS820083566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelia Novell Brewer, DOULA
• Stefanie Brewer, PT, DPT, OMPT
• Alyssa Nicole Brewster
• Robert Lewis Brezzell, RN
• Justin Bria, MD
• Pamela Brice, LPC
• Tamara J Brickerson
• Bridge and Bloom Doula Services LLC
• Roberta Jean Bridge, RN
• Bridgefort Inc

• Intellectual Disabilities Intermediate Care Facility in Detroit, MI
• Providers in Detroit, MI by specialty
• Intellectual Disabilities Intermediate Care Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.