Active NPI
Sojourner Truth in Home Health Care Service
- Community Health Worker
- Detroit, MI
National Provider Identifier
1144462409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 172V00000X
- Legal business name
- SOJOURNER TRUTH IN HOME HEALTH CARE SERVICE
- Practice address
- 16140 Northlawn St
Detroit, MI 48221-2950 - Phone
- (313) 862-1167
- NPI assigned
- Apr 1, 2009
- Last updated
- Apr 1, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Susan Renee Tibbs, MSCMH
- Title
- President
- Phone
- (313) 862-1167
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 172V00000X | MI | Primary |
Addresses
Primary practice location
16140 Northlawn St
Detroit, MI 48221-2950
Mailing address
16140 Northlawn St
Detroit, MI 48221-2950
Phone (313) 862-1167
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1238544000000",
"number": "1144462409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16140 NORTHLAWN ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482212950",
"telephone_number": "313-862-1167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16140 NORTHLAWN ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482212950",
"telephone_number": "313-862-1167"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOJOURNER TRUTH IN HOME HEALTH CARE SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-01",
"last_updated": "2009-04-01",
"status": "A",
"authorized_official_last_name": "TIBBS",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "313-862-1167",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MSCMH"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "MI",
"license": "172V00000X",
"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 Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.