NPIMap

Organization Active NPI

Community Health and Social Services Center, Inc

Doing business as Chass Oakman

  • Federally Qualified Health Center (FQHC)
  • Detroit, MI
National Provider Identifier
1033109244
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY HEALTH AND SOCIAL SERVICES CENTER, INC
Doing business as
Chass Oakman
Practice address
882 Oakman Blvd
Detroit, MI 48238-3710
Phone
(313) 849-3920
Fax
(313) 849-0824
NPI assigned
Oct 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Authorized official

Name
Felix Mario Valbuena Jr., MD
Title
Ceo
Phone
(313) 849-3920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

882 Oakman Blvd
Detroit, MI 48238-3710

Mailing address

5635 W Fort St
Detroit, MI 48209-3154
Phone (313) 849-3920

Other names 1

  • CHASS OAKMAN Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241206001970 MI Part A Provider - Federally Qualified Health Center (FQHC) 0547171514 Practice locations: Detroit, MI

Federally qualified health center certification: CCN C71038

Legal name
COMMUNITY HEALTH AND SOCIAL SERVICES CENTER, INC
Doing business as
CHASS OAKMAN
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 6, 2024
Last certification
Dec 6, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
882 Oakman Blvd
Detroit, MI 48238-3710

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2312718Chass Oakman882 Oakman Blvd, Detroit, MI 48238Certificate of waiverOct 16, 2026

National Provider Directory

National Provider Directory
Tax ID family
Chass Mack9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Susan Hooksbrown Individual Corporate Director Dec 14, 2010
Carmensita Buentello Individual Corporate Director Jun 1, 2023
Felix M Valbuena Individual 5% Or Greater Direct Ownership Interest Jan 1, 2017
Corporate OfficerChief Executive Officer Jan 1, 2017 5%
W-2 Managing EmployeeChief Executive Officer Jan 1, 2017 5%
Operational/Managerial Control Jan 1, 2017
Michael Murray Individual Corporate Director Dec 14, 2010
Patrick Irwin Individual Corporate Director Jan 24, 2011
Lenetta Skinnerwalker Individual Corporate Director Dec 14, 2010

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Felix Mario Valbuena Jr., MD
    • Family Medicine Physician
    • Detroit, MI
    • NPI 1992795165

    5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

    CMS ownership

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1033109244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5635 W FORT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482093154",
            "telephone_number": "313-849-3920",
            "fax_number": "313-849-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "882 OAKMAN BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482383710",
            "telephone_number": "313-849-3920",
            "fax_number": "313-849-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH AND SOCIAL SERVICES CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "VALBUENA",
        "authorized_official_first_name": "FELIX",
        "authorized_official_middle_name": "MARIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-849-3920",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHASS OAKMAN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.