NPIMap

Organization Active NPI

Community Healing Centers

  • Point of Service
  • Niles, MI
National Provider Identifier
1114218609
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
86000132A Issued in IN
Legal business name
COMMUNITY HEALING CENTERS
Practice address
1225 S 11TH St
Niles, MI 49120-3408
Phone
(126) 968-4774
NPI assigned
May 2, 2011
Last updated
May 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2011

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

Authorized official

Name
Ms. Ellen Young
Title
Counselor
Phone
(269) 684-7741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 86000132A IN Primary

Addresses

Primary practice location

1225 S 11TH St
Niles, MI 49120-3408

Mailing address

1225 S 11TH St
Niles, MI 49120-3408
Phone (126) 968-4774

National Provider Directory

National Provider Directory
Tax ID family
Michianaaddctnsprvntn SVCS14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1114218609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 S 11TH ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491203408",
            "telephone_number": "126-968-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 S 11TH ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491203408",
            "telephone_number": "126-968-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALING CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "12696847741",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "IN",
            "license": "86000132A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; 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.