Organization Active NPI

Sojourner Truth in Home Health Care Service

  • Community Health Worker
  • Detroit, MI
National Provider Identifier
1144462409
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
172V00000X Issued in MI
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2009

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.