DETROIT COMMUNITY HEALTH CONNECTION, INC (NPI# 1568737500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568737500 |
| Entity Type | Organization |
| Organization Name | DETROIT COMMUNITY HEALTH CONNECTION, INC |
| Other Organization Name | DAAA/DETROIT COMMUNITY HEALTH CONNECTION, INC. |
| Practice Address |
111 W 7 Mile Rd Detroit MI 48203-1968 |
| Mailing Address |
13901 E Jefferson Ave Detroit MI 48215-2720 |
| Practice Telephone | 3138212591 |
| Practice Fax Number | 3138224202 |
| Mailing Telephone | 3138212591 |
| Mailing Fax Number | 3138224202 |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2012-03-08 |
| Authorized Official Name | MR. MAHIPAL RAO KAKARALA (SRVP/CFO) |
| Authorized Official Telephone | 3138212591 |
| Is Organization Subpart | Y |
| Parent Organization Name | DETROIT COMMUNITY HEALTH CONNECTION, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| DAAA/DETROIT COMMUNITY HEALTH CONNECTION, INC. | Doing Business As Name - 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 |
| 1174906184 | Detroit Community Health Connection, Inc | Clinic/Center | 13901 E Jefferson Ave, Detroit, MI 48215-2720 | 2015-07-08 |
| 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 |
111 W 7 MILE RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48203-1968 |
| 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 |
| 1114368917 | Sean Jackson | Dental Hygienist | 111 W 7 Mile Rd, Detroit, MI 48203-1968 | 2013-07-10 |
| 1578882999 | Jade Andrea Burns | Nurse Practitioner | 111 W 7 Mile Rd, Detroit, MI 48203-1968 | 2010-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992355135 | James Calloway | Peer Specialist | 1211 E Mcnichols, Detroit, MI 48203 | 2019-09-19 |
| 1851868582 | Community Veterans Services Inc | Counselor | 163 Tennyson, Highland Park, MI 48203 | 2018-10-31 |
| 1346601838 | Rainbow Center of Michigan | Health Maintenance Organization | 12501 Hamilton Ave., Highland Park, MI 48203 | 2016-03-11 |
| 1134502354 | Minds Moving In New Directions Inc | Community/Behavioral Health | 62 Massachusetts St, Highland Park, MI 48203 | 2015-07-07 |
| 1811312937 | Brea Holloway | Home Health | 20249 Yacama Rd, Detroit, MI 48203 | 2014-02-26 |
| 1770821795 | St John Providence Health Systems | Community/Behavioral Health | 1150 Lantz St, Detroit, MI 48203 | 2013-01-25 |
| 1871845412 | Waneta Darcell Dickerson | Social Worker | 169 W. Buena Vista, Highlandpark, MI 48203 | 2012-10-05 |
| 1629331939 | Maureen Connolly | Pediatrics | 77 Victor St, Highland Park, MI 48203 | 2012-06-21 |
| 1578850251 | Detroit Recovery Project | Community/Behavioral Health | 1121 East Mc Nichols, Detroit, MI 48203 | 2011-07-01 |
| 1265728414 | Barbara Suzanne Tyson | Home Health | 301 Glendale St, Apt B8, Highland Park, MI 48203 | 2011-06-27 |
| Find all providers in zip 48203 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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|---|---|---|---|---|
| 1952909558 | Quilted Rose Clinical Services, Pllc | Clinic/Center | 269 Walker St Ste 256, Detroit, MI 48207-4258 | 2020-10-15 |
| 1851920581 | Emotional Wellness Group LLC | Clinic/Center | 11956 E Outer Dr, Detroit, MI 48224-2630 | 2020-04-04 |
| 1245897503 | Healthy Choice Community Centered Counseling LLC | Clinic/Center | 19300 Greenfield Rd Ste B, Detroit, MI 48235-2003 | 2019-05-22 |
| 1891245775 | Platinum Psychological Services | Clinic/Center | 4777 E Outer Dr Ste 1154, Detroit, MI 48234-3241 | 2016-10-04 |
| 1750837324 | A Plus Care Transportation LLC | Clinic/Center | 14586 Wisconsin, Detroit, MI 48238 | 2016-09-01 |
| 1093157802 | Medical Massage Clinic of Mi., LLC | Clinic/Center | 17151 Wyoming St, Detroit, MI 48221-2451 | 2013-07-22 |
| 1033461728 | Caring Hands Medical Clinical, P.C. | Clinic/Center | 14219 W. Mc Nichols Road, Detroit, MI 48235 | 2012-10-05 |
| 1558619510 | St John Providence Eastwood Clinic | Clinic/Center | 4777 E Outer Dr Ste 1105, Detroit, MI 48234-3241 | 2012-08-23 |
| 1497997068 | Med Care Clinic LLC | Clinic/Center | 16315 Grand River Ave, Detroit, MI 48227-1825 | 2009-03-29 |
| 1841448446 | Theramatrix, Inc. | Clinic/Center | 18601 Mack Avenue #3, Detroit, MI 48236-3250 | 2008-09-08 |
| 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.