IndividualActive
Jason Crump
NPI 1245194471 · Intellectual Disabilities Intermediate Care Facility · Detroit, MI
Provider details
- NPI number
- 1245194471
- Entity type
- Individual
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- AS8200419685 (MI)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
811 Gladstone St
Detroit, MI 48202-1709
Phone: (313) 444-6594
Street-level locationGet directions
Mailing address
22459 Armstrong Ave
Brownstown, MI 48193-8210
Registry dates
- Enumerated
- 2025-12-11
- Last updated
- 2025-12-11
- Certified
- 2025-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.