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NPI 1578444147ActiveOrganization· Custodial Care Facility· Detroit, MI

Custodial Care Facility in Detroit, Michigan, registered in NPPES in September 2025. The authorized official on file is Jimavis Arnold, BSN,RN, Administrator.

Overview

NPI1578444147
StatusActive
Entity typeOrganization
NPI issuedSep 10, 2025
Last updated in NPPESSep 10, 2025
Certified by providerSep 10, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Custodial Care Facility Primary311Z00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Custodial Care Facility providers in Detroit

All Custodial Care Facility providers in Michigan