Organization Active NPI

The Living Room Drop in Center

  • Health Maintenance Organization
  • Detroit, MI
National Provider Identifier
1144582149
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
302R00000X Issued in MI
Legal business name
THE LIVING ROOM DROP IN CENTER
Practice address
700 Seward St
512
Detroit, MI 48202-2427
Phone
(313) 638-1712
NPI assigned
Jun 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Authorized official

Name
Mrs. Patricia Louise Jefferson, BA, CPSS, MH ED.,
Title
Executive Director
Phone
(313) 623-1712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 302R00000X MI Primary

Addresses

Primary practice location

700 Seward St
512
Detroit, MI 48202-2427

Mailing address

2780 E Grand Blvd Street
200
Detroit, MI 48202-2427
Phone (313) 638-1712

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1144582149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 E GRAND BLVD STREET",
            "address_2": "200",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022427",
            "telephone_number": "313-638-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SEWARD ST",
            "address_2": "512",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022427",
            "telephone_number": "313-638-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIVING ROOM DROP IN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-14",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "313-623-1712",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BA, CPSS, MH ED.,"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MI",
            "license": "302R00000X",
            "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 Jun 14, 2012; 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.