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NPISignal

Individual Healthcare Provider

Kissie Shanta Washington

NPI Record: ActiveRespite Care — Respite Care, Intellectual and/or Developmental Disabilities, Child
NPI1306294707
Detroit, Michigan

Provider's NPPES record last updated: December 28, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1306294707
Primary Specialty
Respite Care — Respite Care, Intellectual and/or Developmental Disabilities, Child
Practice Location
Detroit, Michigan
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 3:51 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Respite Care

    Respite Care, Intellectual and/or Developmental Disabilities, Child

    Respite Care Facility

    Primary

    A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.

    Taxonomy code 385HR2060X
  • Counselor

    Mental Health

    Behavioral Health & Social Service Providers

    Definition to come...

    Taxonomy code 101YM0800X
  • Technician, Other

    Technologists, Technicians & Other Technical Service Providers

    A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

    Taxonomy code 247200000X
  • Respite Care

    Respite Care, Physical Disabilities, Child

    Respite Care Facility

    A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers.

    Taxonomy code 385HR2065X
  • Respite Care

    Respite Care, Mental Illness, Child

    Respite Care Facility

    A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.

    Taxonomy code 385HR2055X

Practice Locations

Practice Location

15476 Archdale St

Detroit, Michigan 48227-1506

Phone: (248) 249-3497

Record Information

Enumeration Date
May 26, 2016
Provider's NPPES Record Last Updated
December 28, 2025
Certification Date
December 28, 2025
NPISignal NPPES Dataset
August 2026

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