The House of Emmanuel, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE HOUSE OF EMMANUEL, LLC

Practice address

670 E Carpenter Rd
Flint, MI 48505-2156

Phone

(419) 944-8845

NPI assigned

Oct 4, 2019

Last updated

Jul 31, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marcus GoodwinNPI 1134758030

Title

Vice President

Phone

(419) 944-8845

Specialties & licenses 3

Addresses

Electronic endpoints 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marcus Goodwin, QMHS/QBHS

  • Mental Health Counselor
  • Toledo, OH
  • NPI 1134758030
  NPD Authorized official
• Qudonya Smith, LLMSW

  • Clinical Social Worker
  • Flint, MI
  • NPI 1942762521
  NPD (past)
• Latoya Brown, LSW

  • Clinical Social Worker
  • Toledo, OH
  • NPI 1952726093
  NPD (past)

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1093356610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 E CARPENTER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485052156",
            "telephone_number": "419-944-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 E CARPENTER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485052156",
            "telephone_number": "419-944-8845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HOUSE OF EMMANUEL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-04",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "419-944-8845"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "houseemman@aol.com",
            "affiliation": "N",
            "endpointDescription": "business email address",
            "address_1": "7159 Burning Bush Ln",
            "city": "Flushing",
            "state": "MI",
            "country_code": "US",
            "postal_code": "484332292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Community/Behavioral Health Agency in Flint, MI
• Providers in Flint, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.