In House Hospitality

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

IN HOUSE HOSPITALITY

Practice address

15481 Manor St
Detroit, MI 48238-1670

Phone

(313) 465-0304

NPI assigned

Apr 26, 2012

Organization subpart

No

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

Authorized official

Name

Treva Lynette Gordon, RN

Title

Sole Propietor

Phone

(313) 465-0304

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1962760967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15481 MANOR ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482381670",
            "telephone_number": "313-465-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15481 MANOR ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482381670",
            "telephone_number": "313-465-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN HOUSE HOSPITALITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "TREVA",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "SOLE PROPIETOR",
        "authorized_official_telephone_number": "313-465-0304",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.