NPIMap

Organization Active NPI

Activating Transitions Caregivers and Companions

Doing business as Latisha Blackwell

  • Attendant Care Provider
  • River Rouge, MI
National Provider Identifier
1982383196
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
Legal business name
ACTIVATING TRANSITIONS CAREGIVERS AND COMPANIONS
Doing business as
Latisha Blackwell
Practice address
58 Hill St
River Rouge, MI 48218-1537
Phone
(313) 828-2058
NPI assigned
Jul 14, 2023
Last updated
Jul 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Authorized official

Name
Ms. Latisha BlackwellNPI 1871850941
Title
Owner/Executive Director
Phone
(313) 138-2820

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU
Attendant Care Provider 3747A0650X NU Primary

Addresses

Primary practice location

58 Hill St
River Rouge, MI 48218-1537

Mailing address

58 Hill St
River Rouge, MI 48218-1537
Phone (313) 828-2058

Other names 1

  • Latisha Blackwell Doing business as

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1982383196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 HILL ST",
            "city": "RIVER ROUGE",
            "state": "MI",
            "postal_code": "482181537",
            "telephone_number": "313-828-2058",
            "fax_number": "313-828-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 HILL ST",
            "city": "RIVER ROUGE",
            "state": "MI",
            "postal_code": "482181537",
            "telephone_number": "313-828-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVATING TRANSITIONS CAREGIVERS AND COMPANIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "LATISHA",
        "authorized_official_title_or_position": "OWNER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "313-138-2820",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Latisha Blackwell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in River Rouge, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.