DETROIT COMMUNITY HEALTH CONNECTION, INC. (NPI# 1659644722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659644722 |
| Entity Type | Organization |
| Organization Name | DETROIT COMMUNITY HEALTH CONNECTION, INC. |
| Other Organization Name | DAAA/DETROIT COMMUNITY HEALTH CONNECTION, INC. |
| Practice Address |
6550 W Warren Ave Detroit MI 48210-1134 |
| Mailing Address |
13901 E Jefferson Ave Detroit MI 48215-2720 |
| Practice Telephone | 3138977700 |
| Practice Fax Number | 3138975991 |
| Mailing Telephone | 3138212591 |
| Mailing Fax Number | 3138224202 |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2012-02-23 |
| 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 |
|---|---|---|---|---|
| 1124393160 | Detroit Community Health Connection, Inc. | Clinic/Center | 12800 E Warren Ave, Detroit, MI 48215-2061 | 2012-03-08 |
| 1215200399 | Detroit Community Health Connection, Inc. | Clinic/Center | 611 Martin Luther King Jr Blvd, Detroit, MI 48201-2273 | 2012-02-20 |
| 1457624652 | Detroit Community Health Connection, Inc. | Clinic/Center | 7900 Kercheval St, Detroit, MI 48214-2439 | 2012-02-17 |
| 1982611562 | Detroit Community Health Connection, Inc. | Clinic/Center | 13901 E Jefferson Ave, Detroit, MI 48215-2720 | 2006-08-03 |
| Street Address |
6550 W WARREN AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48210-1134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871585596 | Ardrea Murphy | Family Medicine | 6550 W Warren Ave, Detroit, MI 48210-1134 | 2005-08-18 |
| 1831752849 | Sylvia Angelica Garcia | Nurse Practitioner | 6550 W Warren Ave, Detroit, MI 48210-1134 | 2019-04-16 |
| 1417325200 | Jessica Garciadeleon | Dental Hygienist | 6550 W Warren Ave, Detroit, MI 48210-1134 | 2015-09-10 |
| 1538305909 | Barbara Ann Menzies-williams | Internal Medicine | 6550 W Warren Ave, Detroit, MI 48210 | 2009-01-06 |
| 1053574236 | Detroit Community Health Connection, Inc | Clinic/Center | 6550 W Warren Ave, Detroit, MI 48210-1134 | 2008-07-08 |
| 1841331592 | Stacy Kay | Dentist | 6550 W Warren Ave, Detroit, MI 48210-1134 | 2007-02-08 |
| 1275553638 | Taimur Anwar | Obstetrics & Gynecology | 6550 W Warren Ave, Detroit, MI 48210-1134 | 2006-07-20 |
| 1861428039 | Taref Alabed | Pediatrics | 6550 W Warren Ave, Detroit, MI 48210-1134 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518517606 | Southwest Solutions | Counselor | 5716 Michigan, Detroit, MI 48210 | 2019-09-19 |
| 1942676150 | Audrey Hall | Case Manager/Care Coordinator | 6576 Woodrow St, Detroit, MI 48210 | 2015-08-12 |
| 1952705147 | Barbara Denise Mccowin-west | Technician, Other | 6900 Mcgraw, Detroit, MI 48210 | 2014-10-16 |
| 1922259456 | Dawn Marie Sanderson | Counselor | 5613 Livernois, Detroit, MI 48210 | 2008-10-02 |
| 1366552804 | American Indian Health and Family Services of Southeastern Mi Inc | In Home Supportive Care | 4880 Lawndalestreet, Detroit, MI 48210 | 2006-08-30 |
| 1912950163 | Irwin Rabinowitz | Pharmacist | Junction Clinic Pharmacy 4771 Michigan Ave., Detroit, MI 48210 | 2006-05-18 |
| 1295229110 | Anne Marie Galus | Dentist | 5716 Michigan Ave, Detroit, MI 48210 | 2018-06-15 |
| 1124547948 | Sarah Fay Walsworth | Physician Assistant | 5716 Michigan Ave, Detroit, MI 48210 | 2017-09-13 |
| 1760678437 | Clement T Piaskowski | Optometrist | 7433 Michigan Ave, Detroit, MI 48210 | 2007-09-17 |
| 1083804173 | Detroit Medical Centre | General Acute Care Hospital | 4201 St. Antoine, Detroit, MI 48210 | 2007-07-26 |
| Find all providers in zip 48210 | ||||
| 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). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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.