DETROIT RESCUE MISSION MINISTRIES (NPI# 1740313238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740313238 |
| Entity Type | Organization |
| Organization Name | DETROIT RESCUE MISSION MINISTRIES |
| Other Organization Name | CHRISTIAN GUIDANCE CENTER |
| Practice Address |
13220 Woodward Ave Highland Park MI 48203-3610 |
| Mailing Address |
150 Stimson St Detroit MI 48201-2410 |
| Practice Telephone | 3138681946 |
| Practice Fax Number | 3138521631 |
| Mailing Telephone | 3139934700 |
| Mailing Fax Number | 3138312299 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2008-08-11 |
| Authorized Official Name | DR. CHAD AUDI (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3139934700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 820317 | MI | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3022440 | 05 |
| Other Name | Type Code |
|---|---|
| Christian Guidance Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851682215 | Detroit Rescue Mission Ministries | Substance Abuse Rehabilitation Facility | 19211 Anglin, Detroit, MI 48234 | 2011-04-20 |
| 1437536802 | Detroit Rescue Mission Ministries | Substance Abuse Rehabilitation Facility | 19211 Anglin St, Detroit, MI 48234-1460 | 2015-05-05 |
| 1285932459 | Detroit Rescue Mission Ministries | Substance Abuse Rehabilitation Facility | 91 Glendale St, Highland Park, MI 48203-3274 | 2011-03-11 |
| 1063545556 | Detroit Rescue Mission Ministries | Substance Abuse Rehabilitation Facility | 3840 Fairview St, Detroit, MI 48214-1608 | 2007-03-13 |
| Street Address |
13220 WOODWARD AVE |
| City | HIGHLAND PARK |
| State | MI |
| Zip Code | 48203-3610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275652794 | Sylvia Jennings | Licensed Practical Nurse | 13220 Woodward Ave, Highland Park, MI 48203-3610 | 2007-03-28 |
| 1407975758 | Kathy Lynn Parker | Licensed Practical Nurse | 13220 Woodward Ave, Highland Park, MI 48203-3610 | 2007-03-28 |
| 1225156177 | Illene Rita Bosley | Counselor | 13220 Woodward Ave, Highland Park, MI 48203-3610 | 2007-03-27 |
| 1386762185 | Alisa Joy Gordon | Licensed Practical Nurse | 13220 Woodward Ave, Highland Park, MI 48203-3610 | 2007-03-27 |
| 1992824627 | Laketa Yvette Woods | Nurse's Aide | 13220 Woodward Ave, Highland Park, MI 48203-3610 | 2007-03-27 |
| 1376661959 | Conrad Michael Bobb-semple | Counselor | 13220 Woodward Ave, Highland Park, MI 48203-3610 | 2007-03-26 |
| 1437277035 | Janice Smith | Counselor | 13220 Woodward Ave, Highland Park, MI 48203-3610 | 2007-03-26 |
| 1922125806 | Irma Jean Payne | Counselor | 13220 Woodward Ave, Highland Park, MI 48203-3610 | 2007-03-23 |
| 1083731301 | Michael John Mcmullen | Counselor | 13220 Woodward Ave, Highland Park, MI 48203-3610 | 2007-03-23 |
| 1952428286 | Gerald Willis | Counselor | 13220 Woodward Ave, Highland Park, MI 48203-3610 | 2007-03-23 |
| Find all providers in the same location | ||||
| 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 | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750833166 | Visions House | Substance Abuse Rehabilitation Facility | 182 Farrand Park, Highland Park, MI 48203-3354 | 2016-11-02 |
| 1023225539 | Elmhurst Home, Inc | Substance Abuse Rehabilitation Facility | 1981 W Mcnichols Rd, Highland Park, MI 48203-4204 | 2007-05-16 |
| 1174919211 | Rainbow | Substance Abuse Rehabilitation Facility | 12501 Hamilton Ave, Highland Park, MI 48203-3243 | 2015-04-15 |
| 1043604994 | Olivia Mensah | Substance Abuse Rehabilitation Facility | 245 Pitkin St, Highland Park, MI 48203-3737 | 2015-03-27 |
| 1598167686 | Naomi's Nest | Substance Abuse Rehabilitation Facility | 245 Pitkin St, Highland Park, MI 48203-3737 | 2014-09-19 |
| 1083016356 | Elmhurst | Substance Abuse Rehabilitation Facility | 245 Pitkin St, Highland Park, MI 48203-3737 | 2014-09-18 |
| 1700287612 | Naomi Nest | Substance Abuse Rehabilitation Facility | 245 Pitkin St, Highland Park, MI 48203-3737 | 2014-09-10 |
| 1831508415 | Tahlia Wilson | Substance Abuse Rehabilitation Facility | 12501 Hamilton Ave, Highland Park, MI 48203-3243 | 2014-08-07 |
| 1437448818 | Christian Guidance Center | Substance Abuse Rehabilitation Facility | 91 Glendale St, Highland Park, MI 48203-3274 | 2011-04-06 |
| 1134389422 | Detroit Recovery Project | Substance Abuse Rehabilitation Facility | 211 Glendale St, Highland Park, MI 48203-3231 | 2008-06-11 |
| Find all providers in HIGHLAND PARK | ||||
| City | HIGHLAND PARK |
| Zip Code | 48203 |
Please comment or provide details below to improve the information on DETROIT RESCUE MISSION MINISTRIES.
| 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.