Active NPI
Progress Transitionalnonprofit Housing Corporation
- Community/Behavioral Health Agency
- Detroit, MI
National Provider Identifier
1093087801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 822974
- Legal business name
- PROGRESS TRANSITIONALNONPROFIT HOUSING CORPORATION
- Practice address
- 13500 E. McNichols Road
Detroit, MI 48205-3426 - Phone
- (313) 647-4559
- Fax
- (313) 255-3947
- NPI assigned
- Feb 8, 2012
- Last updated
- Mar 17, 2017
- 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
- Juan Clark
- Title
- President, Board of Directors
- Phone
- (313) 350-2863
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 4704276788 | MI | |
| Mental Health Counselor | 101YM0800X | 4704276788 | MI | |
| Mental Health Counselor | 101YM0800X | 6801086770 | MI | |
| Social Worker | 104100000X | 4704276788 | MI | |
| Case Management Registered Nurse | 163WC0400X | 4704276788 | MI | |
| General Practice Registered Nurse | 163WG0000X | 4704276788 | MI | |
| Community/Behavioral Health Agency | 251S00000X | 822974 | MI | Primary |
Addresses
Primary practice location
13500 E. McNichols Road
Detroit, MI 48205-3426
Mailing address
13500 E. McNichols Road
Detroit, MI 48205-3426
Phone (313) 647-4559
National Provider Directory
National Provider DirectoryLocations
13000 W 7 Mile Rd
Detroit, MI 48235
Phone (248) 533-1230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489708800000",
"number": "1093087801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13500 E. MCNICHOLS ROAD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482053426",
"telephone_number": "313-647-4559",
"fax_number": "313-255-3947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13500 E. MCNICHOLS ROAD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482053426",
"telephone_number": "313-647-4559",
"fax_number": "313-255-3947"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROGRESS TRANSITIONALNONPROFIT HOUSING CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-08",
"last_updated": "2017-03-17",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "JUAN",
"authorized_official_title_or_position": "PRESIDENT, BOARD OF DIRECTORS",
"authorized_official_telephone_number": "313-350-2863"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "4704276788",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "4704276788",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6801086770",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "4704276788",
"primary": false
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "MI",
"license": "4704276788",
"primary": false
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "MI",
"license": "4704276788",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MI",
"license": "822974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
- Professional Home Doctors (The Detroit Medical Clinic)
- Professional Medical Center PC
- Professional Patient Care PC
- Professional Plaza Clinic Corporation
- Professional Sonocardiographic Imaging
- Progressive Care Home Health Services, LLC (Pchhs, LLC)
- Progressive Human Services Inc.
- Progressive Therapy & Rehab Center, Inc.
- Deanna Jean Prohaszka
- Project 162 LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.