Active NPI
Veteran Heroes Healthcare Center of Michigan
- VA Clinic/Center
- Southfield, MI
National Provider Identifier
1073334249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- VA Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.