DETROIT HEALTH CARE FOR THE HOMELESS (NPI# 1285735845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285735845 |
| Entity Type | Organization |
| Organization Name | DETROIT HEALTH CARE FOR THE HOMELESS |
| Other Organization Name | DBA ADVANTAGE HEALTH CENTERS |
| Practice Address |
20548 Fenkell Detroit MI 48223 |
| Practice Telephone | 3132553333 |
| Practice Fax Number | 3132558679 |
| Mailing Telephone | 3132553333 |
| Mailing Fax Number | 3132558679 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2008-09-03 |
| Authorized Official Name | MS. PATRICIA SOARES (INTERIM EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3132553333 |
| Authorized Official Credential | MPH, RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
MI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| dba Advantage Health Centers | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801361464 | Detroit Health Care for The Homeless | Clinic/Center | 1355 Oakman Blvd, Detroit, MI 48238-2849 | 2018-10-10 |
| 1396839981 | Detroit Health Care for The Homeless | Clinic/Center | 60 E. Warren, Detroit, MI 48201 | 2006-10-03 |
| 1003325440 | Detroit Health Care for The Homeless | Clinic/Center | 15400 W Mcnichols Rd, Detroit, MI 48235-3724 | 2017-09-28 |
| 1548649833 | Detroit Health Care for The Homeless | Clinic/Center | 882 Oakman Blvd, Detroit, MI 48238-3710 | 2015-05-20 |
| 1346591336 | Detroit Health Care for The Homeless | Clinic/Center | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2012-10-01 |
| 1063788651 | Detroit Health Care for The Homeless | Clinic/Center | 15400 W Mcnichols Rd, Detroit, MI 48235-3724 | 2012-03-28 |
| 1275802258 | Detroit Health Care for The Homeless | Clinic/Center | 15400 W Mcnichols Rd, Detroit, MI 48235-3724 | 2011-12-21 |
| 1952697757 | Detroit Health Care for The Homeless | Clinic/Center | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2011-06-21 |
| 1871645309 | Detroit Health Care for The Homeless | Clinic/Center | 15400 W Mcnichols Rd, Detroit, MI 48235-3724 | 2007-01-17 |
| Street Address |
20548 FENKELL |
| City | DETROIT |
| State | MI |
| Zip Code | 48223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366946659 | From Heavens Joy Assisted Care Support Services LLC | Social Worker | 14179 Evergreen Rd, Detroit, MI 48223 | 2018-03-21 |
| 1164921144 | Kyara Mccraney | Licensed Practical Nurse | 12725 Riverview St, Detroit, MI 48223 | 2018-02-06 |
| 1922516384 | Cynthia Clair Reese | Nursing Home Administrator | 22625 Glendale, Det, MI 48223 | 2018-01-18 |
| 1629590609 | Marie Davis | Nursing Care | 14049 Minock St, Detroit, MI 48223 | 2017-07-12 |
| 1740726488 | Tanisha Smith | Behavior Technician | 14620 Faust Ave, Detroit, MI 48223 | 2017-01-18 |
| 1518418730 | Tamica K Boyd | Emergency Medical Technician, Basic | 15890 Lamphere, Detroit, MI 48223 | 2016-10-24 |
| 1831596832 | Walter Ector | Counselor | 14243 Minock, Detroit, MI 48223 | 2014-11-20 |
| 1336568542 | Sheryl A Ali | Registered Nurse | 12811 Hazelton Street, Detroit, MI 48223 | 2014-04-15 |
| 1255667556 | Abyssinia Love Knot Physical Therapy LLC | Physical Medicine & Rehabilitation | 15340 Southfield Freeway, Suite 1-a, Detroit, MI 48223 | 2009-10-22 |
| 1629243902 | Glenda Faye Smith | Massage Therapist | 15041 Faust, Detroit, MI 48223 | 2008-04-28 |
| Find all providers in zip 48223 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679195721 | Family Medical Center of Michigan,inc | Clinic/Center | 2740 Collingwood St Ste 100, Detroit, MI 48206-1473 | 2020-05-12 |
| 1154892958 | Family Medical Center of Michigan, Inc | Clinic/Center | 2425 Tuxedo St Rm 115, Detroit, MI 48206-1222 | 2018-12-06 |
| 1801361464 | Detroit Health Care for The Homeless | Clinic/Center | 1355 Oakman Blvd, Detroit, MI 48238-2849 | 2018-10-10 |
| 1306329800 | Family Medical Center of Michigan,inc | Clinic/Center | 15531 Linwood St Rm 102, Detroit, MI 48238-1465 | 2018-09-11 |
| 1982072963 | Detroit Healthcare for The Homeless | Clinic/Center | 1234 Porter St, Detroit, MI 48226-2407 | 2015-09-09 |
| 1851554034 | Detroit Community Health Connection, Inc | Clinic/Center | 111 W 7 Mile Rd, Detroit, MI 48203-1968 | 2008-07-08 |
| 1396839981 | Detroit Health Care for The Homeless | Clinic/Center | 60 E. Warren, Detroit, MI 48201 | 2006-10-03 |
| 1275576886 | Ronaldo B Supena | Clinic/Center | 611 Martin Luther King Jr Blvd, Detroit, MI 48201-2273 | 2006-06-13 |
| 1033109244 | Community Health and Social Services Center, Inc | Clinic/Center | 7436 Woodward Ave, Detroit, MI 48202-3100 | 2005-10-27 |
| 1588137376 | Detroit Community Health Connection, Inc | Clinic/Center | 20303 Kelly Rd, Detroit, MI 48225-1206 | 2019-01-04 |
| Find all providers in DETROIT | ||||
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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.