NPIMap

Organization Active NPI

Emmanuel House

  • Clinical Social Worker
  • Detroit, MI
National Provider Identifier
1124453154
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EMMANUEL HOUSE
Practice address
14750 Saint Marys St # 48227
Detroit, MI 48227-1862
Phone
(313) 397-2372
NPI assigned
Sep 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Authorized official

Name
Timothy Arthur Thompson
Title
Director
Phone
(313) 397-2372

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X MI Primary

Addresses

Primary practice location

14750 Saint Marys St # 48227
Detroit, MI 48227-1862

Mailing address

14750 Saint Marys St
Detroit, MI 48227-1862
Phone (131) 339-7237

Other names 1

  • Emmanuel House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Emmanuel House3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

14750 Saint Marys St
Detroit, MI 48227
Phone (313) 397-2372

NPI Registry JSON

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1124453154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14750 SAINT MARYS ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482271862",
            "telephone_number": "131-339-7237",
            "fax_number": "313-838-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14750 SAINT MARYS ST # 48227",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482271862",
            "telephone_number": "313-397-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANUEL HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "313-397-2372"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emmanuel House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.