MRS. DESHRA MICHELLE VINES
NPI 1255576765
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Flint, MI

Active since December 11, 2008
1405 WATCH HILL DR, FLINT, MI 48507(810) 233-6696(810) 233-6696 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Deshra Michelle Vines NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. DESHRA MICHELLE VINES (NPI 1255576765) is an individual residential treatment facility, intellectual and/or developmental disabilities provider in Flint, Michigan, licensed in Michigan (AS2504124845) and active in the NPI registry since December 2008.

NPPES Registry Identity

NPI1255576765
Entity TypeIndividualFemale
Primary Taxonomy320600000X
Provider Legal NameMRS. DESHRA MICHELLE VINES
Location Address1405 WATCH HILL DRFlint, MI 48507-5625
Mailing Address714 Lippincott BlvdFlint, MI 48503-5818 · (810) 233-6696 · Fax (810) 233-6696
Fax(810) 233-6696
Sole ProprietorYes
Enumeration DateDecember 11, 2008
Last NPPES UpdateApril 14, 2026
NPPES CertifiedApril 14, 2026
NPI 1255576765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License Licensed in MI · AS2504124845
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Also ListedBehavior TechnicianTaxonomy 106S00000X · License BCBA1349277 (MI)
1405 WATCH HILL DR, Flint, MI 48507

Other Identifiers 1

Other9099470MI · Dhs Provider Id Number

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Day Training, Developmentally Disabled Services
1405 WATCH HILL DR
FLINT, MI 48507

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deshra Vines's NPI number?

The NPI number for Deshra Vines is 1255576765. It was assigned to this individual provider in the NPPES registry on December 11, 2008.

Where is Deshra Vines located?

Deshra Vines practices at 1405 Watch Hill Dr, Flint, MI 48507. The listed phone number is (810) 233-6696.

What is Deshra Vines's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Deshra Vines was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.