NPIMap

Organization Active NPI

Michigan Warriors

  • Community/Behavioral Health Agency
  • Detroit, MI
National Provider Identifier
1124910492
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MICHIGAN WARRIORS
Practice address
8633 Southfield Fwy
Detroit, MI 48228-1975
Phone
(313) 444-4192
NPI assigned
Jul 19, 2025
Last updated
Jul 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Authorized official

Name
Taylor Lockridge, CCHWNPI 1679465959
Title
Executive Director
Phone
(248) 678-4005

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Community Health Worker 172V00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

8633 Southfield Fwy
Detroit, MI 48228-1975

Mailing address

PO Box 227
Eastpointe, MI 48021-0227

National Provider Directory

National Provider Directory
Tax ID family
Michigan Warriors2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

23713 Joy Rd
Dearborn Heights, MI 48127
Phone (313) 624-3400

8633 Southfield Fwy
Detroit, MI 48228
Phone (313) 296-1170

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1752883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782950400000",
    "number": "1124910492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 227",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480210227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8633 SOUTHFIELD FWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482281975",
            "telephone_number": "313-444-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN WARRIORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-19",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A",
        "authorized_official_last_name": "LOCKRIDGE",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "248-678-4005",
        "authorized_official_credential": "CCHW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 2, 2026; 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.