CITY OF DETROIT (NPI# 1740402114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740402114 |
| Entity Type | Organization |
| Organization Name | CITY OF DETROIT |
| Other Organization Name | DETROIT HEALTH DEPARTMENT |
| Practice Address |
3245 E Jefferson Ave Ste 100 Detroit MI 48207-4222 |
| Mailing Address |
8809 John C Lodge Detroit MI 48202 |
| Practice Telephone | 3138764000 |
| Mailing Telephone | (313) 887-6737 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2017-06-07 |
| Authorized Official Name | DR. KANZONI ASABIGI (DIRECTOR OF DRUGTREATMENT CITY OF D) |
| Authorized Official Telephone | 3138764000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 820080 | MI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4456991 | 05 |
| Other Name | Type Code |
|---|---|
| Detroit Health Department | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033429394 | City of Detroit | Preventive Medicine | 3245 E. Jefferson, Suite # 100, Detroit, MI 48207-4222 | 2010-10-20 |
| 1538479019 | City of Detroit | Internal Medicine | 3245 E Jefferson Ave, Detroit, MI 48207-4222 | 2010-10-18 |
| 1679883490 | City of Detroit | Optometrist | 3245 E Jefferson Ave # 100, Detroit, MI 48207-4222 | 2010-10-14 |
| 1336367960 | City of Detroit | Clinic/Center | Detroit Health Dept.-grace Ross Clinic, 14585 Greenfield Road, Detroit, MI 48227 | 2007-04-20 |
| 1528286168 | City of Detroit | Clinic/Center | Detroit Health Department-northeast Health Center, 5400 East Seven Mile, Detroit, MI 48234 | 2007-04-20 |
| 1346367638 | City of Detroit | Durable Medical Equipment & Medical Supplies | Detroit Health Dept-herman Kiefer Pharmacy Division, 1151 Taylor Street, Room 41 B-wing, Detroit, MI 48202-1732 | 2007-03-23 |
| 1346379492 | City of Detroit | Exclusive Provider Organization | 1151 Taylor St Rm 319b, Detroit, MI 48202-1732 | 2007-03-05 |
| 1598825440 | City of Detroit | Public Health or Welfare | 3245 E Jefferson Ave Ste 100, Detroit, MI 48207-4222 | 2006-12-11 |
| 1477599900 | City of Detroit | Ambulance | 1301 3rd St Fl 7, Attn: Odfs/ems Billing, Detroit, MI 48226-2503 | 2006-06-22 |
| 1821369620 | City of Detroit | Public Health or Welfare | 3245 E Jefferson Ave Ste 100, Detroit, MI 48207-4222 | 2012-01-25 |
| Street Address |
3245 E JEFFERSON AVE STE 100 |
| City | DETROIT |
| State | MI |
| Zip Code | 48207-4222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598825440 | City of Detroit | Public Health or Welfare | 3245 E Jefferson Ave Ste 100, Detroit, MI 48207-4222 | 2006-12-11 |
| 1821369620 | City of Detroit | Public Health or Welfare | 3245 E Jefferson Ave Ste 100, Detroit, MI 48207-4222 | 2012-01-25 |
| 1578866877 | City of Detroit | Clinic/Center | 3245 E Jefferson Ave Ste 100, Detroit, MI 48207-4222 | 2010-12-09 |
| 1588974844 | City of Detroit | Public Health or Welfare | 3245 E Jefferson Ave Ste 100, Detroit, MI 48207-4222 | 2010-10-20 |
| 1124338488 | City of Detroit | Clinical Medical Laboratory | 3245 E Jefferson Ave Ste 100, Detroit, MI 48207-4222 | 2010-10-20 |
| 1538342936 | City of Detroit | Public Health or Welfare | 3245 E Jefferson Ave Ste 100, Detroit, MI 48207-4222 | 2007-12-10 |
| 1447433842 | City of Detroit | Pharmacy | 3245 E Jefferson Ave Ste 100, Detroit, MI 48207-4222 | 2007-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245848506 | Anton R Gonzales | Physical Therapy Assistant | 2295 Chene, Detroit, Mi 48207, Detroit, MI 48207 | 2020-07-22 |
| 1033733928 | Taleshia Moss | Occupational Therapist | 2295 Chene, Detroit, MI 48207 | 2020-06-05 |
| 1942858550 | Ronald Royce Cochran | Counselor | 2925 Russell St, Detroit, Detroit, MI 48207 | 2019-08-27 |
| 1649831439 | Charday Penick | Social Worker | Team Wellness, 2925 Russell St, Detroit, MI 48207 | 2019-06-24 |
| 1568023349 | Alphia Ramona Burgess | Social Worker | Team Wellness Center, 2925 Russell Street, Detroit, MI 48207 | 2019-06-24 |
| 1447741608 | Sherice Ward | Social Worker | 100 River Place Drive, Ste 250, Detroit, MI 48207 | 2018-05-23 |
| 1427549955 | Mission Point of Detroit, LLC | Skilled Nursing Facility | 2102 Orleans, Detroit, MI 48207 | 2018-05-21 |
| 1043723737 | Olivia Carter | Case Management | 2712 Gratiot, Detroit, MI 48207 | 2017-11-16 |
| 1558885590 | Kalimah Johnson | Social Worker | 701 Mcdougall, Detroit, MI 48207 | 2017-08-01 |
| 1922534692 | Angela Young | Social Worker | 100 River Place 520, Detroit, MI 48207 | 2017-05-02 |
| Find all providers in zip 48207 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336394 | Kcs Community Services Inc | Community/Behavioral Health | 16577 Muirland St, Detroit, MI 48221-3012 | 2020-11-04 |
| 1356988562 | Charlotte Yvonne Overall | Community/Behavioral Health | 13334 Longview St, Detroit, MI 48213-1919 | 2019-12-06 |
| 1477110054 | Reymac Home Healthcare LLC | Community/Behavioral Health | 13030 W 7 Mile Rd, Detroit, MI 48235-1335 | 2019-05-20 |
| 1033773528 | Great Futures Family Services Inc | Community/Behavioral Health | 11475 E Outer Dr, Detroit, MI 48224-3226 | 2019-04-30 |
| 1275197527 | Volunteers of America Michigan | Community/Behavioral Health | 3031 W Grand Blvd Ste 465, Detroit, MI 48202-3017 | 2019-04-23 |
| 1891271458 | Bwl Care, LLC | Community/Behavioral Health | 16861 Wyoming St, Detroit, MI 48221-2850 | 2018-07-17 |
| 1780189365 | Fayna T Counseling Services Pllc | Community/Behavioral Health | 5575 Conner St Ste 208, Detroit, MI 48213-6401 | 2018-03-27 |
| 1912400508 | Your Voice and Choice, Pllc | Community/Behavioral Health | 12241 Vaughan St, Detroit, MI 48228-1008 | 2018-03-09 |
| 1508365560 | Zion's Hope Social Services LLC | Community/Behavioral Health | 16860 Gardenview Cir Bldg C, Detroit, MI 48228-4319 | 2018-02-06 |
| 1073035473 | Creative Empowerment Counseling Services, LLC | Community/Behavioral Health | 214 Manistique, Detroit, MI 48215 | 2017-07-07 |
| 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.