Organization Active NPI

It Takes a Village Adult Day Care Services

  • Adult Day Care Clinic/Center
  • Detroit, MI
National Provider Identifier
1962883132
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
IT TAKES A VILLAGE ADULT DAY CARE SERVICES
Practice address
4777 E Outer Dr
Detroit, MI 48234-3241
Phone
(313) 369-5500
Fax
(313) 369-5502
NPI assigned
Jun 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Kenneth Warren, LMSW
Title
Authorized Official
Phone
(313) 682-9584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

4777 E Outer Dr
Detroit, MI 48234-3241

Mailing address

4777 E Outer Dr
Detroit, MI 48234-3241
Phone (313) 369-5500

Other practice location 1

23480 Coventry Woods Ln
Southfield, MI 48034-5167
Phone (313) 682-9584

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1434240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1962883132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4777 E OUTER DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482343241",
            "telephone_number": "313-369-5500",
            "fax_number": "313-369-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4777 E OUTER DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482343241",
            "telephone_number": "313-369-5500",
            "fax_number": "313-369-5502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23480 Coventry Woods Ln",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480345167",
            "country_code": "US",
            "telephone_number": "313-682-9584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IT TAKES A VILLAGE ADULT DAY CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "313-682-9584",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "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 Jul 21, 2022; 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.