Stars Theraputic Services and Adult Day Care Center LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

6801092554 Issued in MI

Legal business name

STARS THERAPUTIC SERVICES AND ADULT DAY CARE CENTER LLC

Practice address

4238 Commonwealth St
Detroit, MI 48208-2911

Phone

(248) 705-0604

NPI assigned

Nov 5, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Raeshawndra Jett, MSWNPI 1780993659

Title

Clinical Director

Phone

(248) 705-0604

Specialties & licenses 1

Addresses

Practitioners 1

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

• Raeshawndra Cheirie Jett, LLMSW

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1780993659
  NPD (past) Authorized official

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385078400000",
    "number": "1972932556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4238 COMMONWEALTH ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482082911",
            "telephone_number": "248-705-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4238 COMMONWEALTH ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482082911",
            "telephone_number": "248-705-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARS THERAPUTIC SERVICES AND ADULT DAY CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-22",
        "status": "A",
        "authorized_official_last_name": "JETT",
        "authorized_official_first_name": "RAESHAWNDRA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "248-705-0604",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MI",
            "license": "6801092554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Detroit, MI
• Providers in Detroit, MI by specialty
• Developmentally Disabled Services Day Training Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.