NPIMap

Organization Active NPI

Community Health and Social Services Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Detroit, MI
National Provider Identifier
1104657618
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
Practice address
2915 W Hancock St
Detroit, MI 48208
Phone
(313) 849-3920
Fax
(313) 849-0824
NPI assigned
Aug 8, 2024
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., MDNPI 1992795165
Title
Ceo
Phone
(313) 849-3920

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2915 W Hancock St
Detroit, MI 48208

Mailing address

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

Other names 1

  • CHASS PFC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251014003545 MI Part A Provider - Federally Qualified Health Center (FQHC) 0547171514 Practice locations: Detroit, MI

Federally qualified health center certification: CCN C71047

Legal name
COMMUNITY HEALTH AND SOCIAL SERVICES CENTER, INC
Doing business as
CHASS PFC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 24, 2025
Last certification
Sep 24, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
2915 W Hancock St
Detroit, MI 48208-2198

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
23D2312974Chass PFC2915 Hancock Street, Detroit, MI 48208Certificate of waiverOct 21, 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.

Locations

2915 W Hancock St
Detroit, MI 48208
Phone (313) 524-2739

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 InterestChief Executive Officer Jan 1, 2017
Corporate OfficerChief Executive Officer Jan 1, 2017
W-2 Managing EmployeeChief Executive Officer Jan 1, 2017
Operational/Managerial ControlChief Executive Officer 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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1104657618",
    "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": "2915 W HANCOCK ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48208",
            "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": "2024-08-08",
        "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 PFC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.