COMMUNITY & HOME SUPPORTS INC NPI 1104152123

NPI Information

NPI: 1104152123
Provider Name: COMMUNITY & HOME SUPPORTS, INC
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
2111 WOODWARD AVE, SUITE 608
DETROIT, MI
ZIP 48201
Phone: (313) 964-2566
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COMMUNITY & HOME SUPPORTS, INC is a public health or welfare in Detroit, MI. COMMUNITY & HOME SUPPORTS, INC NPI is 1104152123. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2111 WOODWARD AVE, SUITE 608
DETROIT, MI
ZIP 48201
Phone: (313) 964-2566
Fax: (313) 332-4143

The provider's authorized official is Nathaniel Warshay .
The authorized official title is Executive Director and has the following contact phone number (313) 887-7733.

The enumeration date for this NPI number is 10/27/2009 and was last updated on 11/8/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	101YM0800X	Counselor	Mental Health	No
3	251B00000X	Case Management		No
4	251E00000X	Home Health		No
5	251S00000X	Community/Behavioral Health		No
6	251K00000X	Public Health or Welfare		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1104152123	MEDICAID	MICHIGAN
2	MI10062	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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