Organization Active NPI

Veteran Heroes Healthcare Center of Michigan

  • VA Clinic/Center
  • Southfield, MI
National Provider Identifier
1073334249
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
VETERAN HEROES HEALTHCARE CENTER OF MICHIGAN
Practice address
25559 Shiawassee Rd Apt 521
Southfield, MI 48033
Phone
(623) 277-7828
NPI assigned
Oct 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
Paula Lorraine Hester
Title
Ceo/Healthcare Director
Phone
(623) 277-7828

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Multi-Specialty Clinic/Center 261QM1300X
Medical Specialty Clinic/Center 261QM2500X
VA Clinic/Center 261QV0200X Primary

Addresses

Primary practice location

25559 Shiawassee Rd Apt 521
Southfield, MI 48033

Mailing address

25559 Shiawassee Rd Apt 521
Southfield, MI 48033
Phone (623) 277-7828

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1073334249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25559 SHIAWASSEE RD APT 521",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48033",
            "telephone_number": "623-277-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25559 SHIAWASSEE RD APT 521",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48033",
            "telephone_number": "623-277-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERAN HEROES HEALTHCARE CENTER OF MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "HESTER",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "LORRAINE",
        "authorized_official_title_or_position": "CEO/HEALTHCARE DIRECTOR",
        "authorized_official_telephone_number": "623-277-7828"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.