DETROIT COMMUNITY HEALTH CONNECTION, INC. (NPI# 1982611562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982611562 |
| Entity Type | Organization |
| Organization Name | DETROIT COMMUNITY HEALTH CONNECTION, INC. |
| Practice Address |
13901 E Jefferson Ave Detroit MI 48215-2720 |
| Practice Telephone | 3138220900 |
| Practice Fax Number | 3138220950 |
| Mailing Telephone | 3138212591 |
| Mailing Fax Number | 3138224202 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2015-06-24 |
| Authorized Official Name | MR. MAHIPAL RAO KAKARALA (CFO) |
| Authorized Official Telephone | 3138212591 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1982611562 | 01 | |
| MI | 1992196 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124393160 | Detroit Community Health Connection, Inc. | Clinic/Center | 12800 E Warren Ave, Detroit, MI 48215-2061 | 2012-03-08 |
| 1659644722 | Detroit Community Health Connection, Inc. | Clinic/Center | 6550 W Warren Ave, Detroit, MI 48210-1134 | 2012-02-20 |
| 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 |
| Street Address |
13901 E JEFFERSON AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48215-2720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104856897 | Ann R Gillett-elrington | Obstetrics & Gynecology | 13901 E Jefferson Ave, Detroit, MI 48215-2720 | 2006-07-05 |
| 1053949701 | Jeffrey Gary Beach | Dietitian, Registered | 13901 E Jefferson Ave, Detroit, MI 48215-2720 | 2020-03-30 |
| 1598327470 | Tamika Rochelle Hawkins | Nurse Practitioner | 13901 E Jefferson Ave, Detroit, MI 48215-2720 | 2019-07-01 |
| 1861930448 | Shermanstine Morrow | Licensed Practical Nurse | 13901 E Jefferson Ave, Detroit, MI 48215-2720 | 2017-02-03 |
| 1174906184 | Detroit Community Health Connection, Inc | Clinic/Center | 13901 E Jefferson Ave, Detroit, MI 48215-2720 | 2015-07-08 |
| 1376977157 | Sarah Brown-sapp | Registered Nurse | 13901 E Jefferson Ave, Detroit, MI 48215-2720 | 2013-08-28 |
| 1285971655 | Eucheria Mbata | Nurse Practitioner | 13901 E Jefferson Ave, Detroit, MI 48215-2720 | 2013-01-05 |
| 1043563448 | Joyce Y. Brown | Registered Nurse | 13901 E Jefferson Ave, Detroit, MI 48215-2720 | 2012-10-23 |
| 1780936153 | Angelic Marie Douglas | Registered Nurse | 13901 E Jefferson Ave, Detroit, MI 48215-2720 | 2012-10-10 |
| 1609123348 | Grace Allen Gullett | Registered Nurse | 13901 E Jefferson Ave, Detroit, MI 48215-2720 | 2012-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073035473 | Creative Empowerment Counseling Services, LLC | Community/Behavioral Health | 214 Manistique, Detroit, MI 48215 | 2017-07-07 |
| 1801323530 | Tanya Wade | Social Worker | 12800 E Warren, Detroit, MI 48215 | 2017-05-12 |
| 1992164289 | Juanita Johnson | Counselor | 13336-40 E. Warren Ave, Detroit, MI 48215 | 2016-02-16 |
| 1629476379 | Northeast Guidance Center | Community/Behavioral Health | 12800 Warren, Detroit, MI 48215 | 2014-12-11 |
| 1407253412 | Conner Pharmacy LLC | Pharmacy | 4673 Conner Street, Detroit, MI 48215 | 2014-11-20 |
| 1053734285 | Dawne Robinson | Counselor | 2995 Conner St, Detroit, MI 48215 | 2014-01-23 |
| 1790065357 | Michelle Miller | Counselor | 2900 Conner, Bldg. A, Detroit, MI 48215 | 2011-08-26 |
| 1710286836 | Northeast Guidance Center | Community/Behavioral Health | 2900 Conner St, Ste A, Detroit, MI 48215 | 2011-03-16 |
| 1871892992 | Lisa Nicole Marszalec | Counselor | 12800 East Warren Ave, Detroit, MI 48215 | 2011-03-16 |
| 1881845014 | Deborah A Caldwell | Nutritionist | 13340 E Warren, Detroit, MI 48215 | 2008-10-07 |
| Find all providers in zip 48215 | ||||
| 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 |
| 1285735845 | Detroit Health Care for The Homeless | Clinic/Center | 20548 Fenkell, Detroit, MI 48223 | 2006-09-26 |
| 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 |
| 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.