Healthcare Provider Details

I. General information

NPI: 1073443164
Provider Name (Legal Business Name): CAPPRI LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11233 CAPRI DRIVE
WARREN MI
48093-5538
US

IV. Provider business mailing address

11233 CAPRI DRIVE
WARREN MI
48093-5538
US

V. Phone/Fax

Practice location:
  • Phone: 313-877-3787
  • Fax:
Mailing address:
  • Phone: 313-877-3787
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: AKRAM ASKAR
Title or Position: DIRECTOR
Credential:
Phone: 313-877-3787