DETROIT COMMUNITY HEALTH CONNECTION, INC (NPI# 1174906184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174906184 |
Entity Type | Organization |
Organization Name | DETROIT COMMUNITY HEALTH CONNECTION, INC |
Other Organization Name | DCHC HOSPITAL CARE |
Practice Address |
13901 E Jefferson Ave Detroit MI 48215-2720 |
Practice Telephone | 3133432873 |
Practice Fax Number | 3138224202 |
Mailing Telephone | 3133432873 |
Mailing Fax Number | 3138224202 |
Enumeration Date | 2015-07-08 |
Last Update Date | 2015-07-29 |
Authorized Official Name | MAHIPAL RAO KAKARALA (CFO) |
Authorized Official Telephone | 3138212591 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
DCHC Hospital Care | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851554034 | Detroit Community Health Connection, Inc | Clinic/Center | 111 W 7 Mile Rd, Detroit, MI 48203-1968 | 2008-07-08 |
1588137376 | Detroit Community Health Connection, Inc | Clinic/Center | 20303 Kelly Rd, Detroit, MI 48225-1206 | 2019-01-04 |
1568737500 | Detroit Community Health Connection, Inc | Clinic/Center | 111 W 7 Mile Rd, Detroit, MI 48203-1968 | 2012-03-08 |
1356614721 | Detroit Community Health Connection, Inc | Clinic/Center | 13901 E Jefferson Ave, Detroit, MI 48215-2720 | 2012-02-16 |
1063790186 | Detroit Community Health Connection, Inc | Clinic/Center | 12800 E Warren Ave, Detroit, MI 48215-2061 | 2011-07-22 |
1053574236 | Detroit Community Health Connection, Inc | Clinic/Center | 6550 W Warren Ave, Detroit, MI 48210-1134 | 2008-07-08 |
1275796468 | Detroit Community Health Connection, Inc | Clinic/Center | 7900 Kercheval St, Detroit, MI 48214-2439 | 2008-07-08 |
1790948982 | Detroit Community Health Connection, Inc | Clinic/Center | 611 Martin Luther King Jr Blvd, Detroit, MI 48201-2273 | 2008-07-08 |
Street Address |
13901 E JEFFERSON AVE |
City | DETROIT |
State | MI |
Zip Code | 48215-2720 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104856897 | Ann R Gillett-elrington | Obstetrics & Gynecology | 13901 E Jefferson Ave, Detroit, MI 48215-2720 | 2006-07-05 |
1053949701 | Jeffrey Gary Beach | Dietitian, Registered | 13901 E Jefferson Ave, Detroit, MI 48215-2720 | 2020-03-30 |
1598327470 | Tamika Rochelle Hawkins | Nurse Practitioner | 13901 E Jefferson Ave, Detroit, MI 48215-2720 | 2019-07-01 |
1861930448 | Shermanstine Morrow | Licensed Practical Nurse | 13901 E Jefferson Ave, Detroit, MI 48215-2720 | 2017-02-03 |
1376977157 | Sarah Brown-sapp | Registered Nurse | 13901 E Jefferson Ave, Detroit, MI 48215-2720 | 2013-08-28 |
1285971655 | Eucheria Mbata | Nurse Practitioner | 13901 E Jefferson Ave, Detroit, MI 48215-2720 | 2013-01-05 |
1043563448 | Joyce Y. Brown | Registered Nurse | 13901 E Jefferson Ave, Detroit, MI 48215-2720 | 2012-10-23 |
1780936153 | Angelic Marie Douglas | Registered Nurse | 13901 E Jefferson Ave, Detroit, MI 48215-2720 | 2012-10-10 |
1609123348 | Grace Allen Gullett | Registered Nurse | 13901 E Jefferson Ave, Detroit, MI 48215-2720 | 2012-08-13 |
1952676546 | Meryl Ann Hadley | Dietitian, Registered | 13901 E Jefferson Ave, 7900 Kercheval St, Detroit, MI 48215-2720 | 2012-03-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073035473 | Creative Empowerment Counseling Services, LLC | Community/Behavioral Health | 214 Manistique, Detroit, MI 48215 | 2017-07-07 |
1801323530 | Tanya Wade | Social Worker | 12800 E Warren, Detroit, MI 48215 | 2017-05-12 |
1992164289 | Juanita Johnson | Counselor | 13336-40 E. Warren Ave, Detroit, MI 48215 | 2016-02-16 |
1629476379 | Northeast Guidance Center | Community/Behavioral Health | 12800 Warren, Detroit, MI 48215 | 2014-12-11 |
1407253412 | Conner Pharmacy LLC | Pharmacy | 4673 Conner Street, Detroit, MI 48215 | 2014-11-20 |
1053734285 | Dawne Robinson | Counselor | 2995 Conner St, Detroit, MI 48215 | 2014-01-23 |
1790065357 | Michelle Miller | Counselor | 2900 Conner, Bldg. A, Detroit, MI 48215 | 2011-08-26 |
1710286836 | Northeast Guidance Center | Community/Behavioral Health | 2900 Conner St, Ste A, Detroit, MI 48215 | 2011-03-16 |
1871892992 | Lisa Nicole Marszalec | Counselor | 12800 East Warren Ave, Detroit, MI 48215 | 2011-03-16 |
1881845014 | Deborah A Caldwell | Nutritionist | 13340 E Warren, Detroit, MI 48215 | 2008-10-07 |
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Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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1780997841 | Total Medical Care | Clinic/Center | 3611 Carpenter St Ste 7, Detroit, MI 48212-2784 | 2010-07-19 |
1821325176 | Matrix Human Services | Clinic/Center | 450 Eliot, Detroit, MI 48201-2130 | 2009-11-06 |
1184892911 | B S Pannu Md PC | Clinic/Center | 7349 E Jefferson Ave, Detroit, MI 48214-2308 | 2008-02-14 |
1710188842 | St George Medical Center Inc. | Clinic/Center | 4818 W Vernor Hwy, Detroit, MI 48209-2122 | 2007-05-29 |
1497172381 | Light of Hope Family Medical Clinic | Clinic/Center | 9600 Dexter Ave, Detroit, MI 48206-1816 | 2014-03-28 |
1699926113 | Bca of Detroit, LLC | Clinic/Center | 15000 Gratiot Ave, Detroit, MI 48205-1973 | 2008-10-02 |
1982881025 | Great Lakes Family Medical Center Pllc | Clinic/Center | 4420 E Davison St, Detroit, MI 48212-1744 | 2008-01-30 |
1881809226 | Henry Ford Health System | Clinic/Center | 3031 W Grand Blvd, Detroit, MI 48202-3046 | 2007-05-11 |
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1669087854 | Advance Counseling Services, LLC | Clinic/Center | 110 Trealout Dr Ste 103, Fenton, MI 48430-3211 | 2020-09-14 |
1104439033 | Otevwa Homes Inc | Clinic/Center | 6556 Rustic Ridge Trl, Grand Blanc, MI 48439-4956 | 2020-08-29 |
1245849827 | Transitions Case Management Education Inc. | Clinic/Center | 26375 Halsted Rd Apt 122, Farmington Hills, MI 48331-3762 | 2020-07-29 |
1689204703 | Professional Ergonomics LLC | Clinic/Center | 1754 Central Park Dr Apt H, Okemos, MI 48864-1258 | 2020-01-16 |
1598319147 | Crescent Procedure Center Plc | Clinic/Center | 30671 Stephenson Hwy Ste A, Madison Heights, MI 48071-1635 | 2019-07-31 |
1164984944 | Rsf Medics Pllc | Clinic/Center | 28511 Ford Rd, Garden City, MI 48135 | 2019-04-02 |
1114484540 | Maan Ekkah, Md, PC | Clinic/Center | 4848 Adams Pointe Ct, Troy, MI 48098-4111 | 2019-02-21 |
1851877211 | Saleh Medical Innovations Consulting Plc | Clinic/Center | 9308 Hickory Ridge Road, Northville, MI 48167 | 2018-07-18 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.