Organization Active NPI

Virginia Park Citizens Service Corporation

  • Home Health Aide
  • Detroit, MI
National Provider Identifier
1023219201
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
VIRGINIA PARK CITIZENS SERVICE CORPORATION
Practice address
8431 Rosa Parks Blvd
Detroit, MI 48206-2424
Phone
(313) 894-2830
Fax
(313) 894-0766
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Maude A Freeman
Title
Executive Director
Phone
(313) 894-2830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

8431 Rosa Parks Blvd
Detroit, MI 48206-2424

Mailing address

8431 Rosa Parks Blvd
Detroit, MI 48206-2424
Phone (313) 894-2830

National Provider Directory

National Provider Directory

Locations

8431 Rosa Parks Blvd
Detroit, MI 48206
Phone (313) 894-2830

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023219201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8431 ROSA PARKS BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482062424",
            "telephone_number": "313-894-2830",
            "fax_number": "313-894-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8431 ROSA PARKS BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482062424",
            "telephone_number": "313-894-2830",
            "fax_number": "313-894-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA PARK CITIZENS SERVICE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "MAUDE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "313-894-2830",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.