Active NPI
Rick Key
- Substance Abuse Rehabilitation Facility
- Detroit, MI
National Provider Identifier
1144972027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- SA0823347
- Practice address
- 17595 Rutherford St
Detroit, MI 48235-3155 - Phone
- (313) 467-4531
- NPI assigned
- Jan 22, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | SA0823347 | MI | Primary |
Addresses
Primary practice location
17595 Rutherford St
Detroit, MI 48235-3155
Mailing address
17595 Rutherford St
Detroit, MI 48235-3155
Phone (313) 467-4531
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA0823347 | MI | MD | Substance Abuse Rehabilitation Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642809600000",
"number": "1144972027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17595 RUTHERFORD ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482353155",
"telephone_number": "313-467-4531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17595 RUTHERFORD ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482353155",
"telephone_number": "313-467-4531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEY",
"first_name": "RICK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-01-22",
"last_updated": "2022-01-22",
"certification_date": "2022-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "MI",
"license": "SA0823347",
"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 Jan 22, 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.