Organization Active NPI

Gilead Wellness Network Inc

  • Case Management Agency
  • Detroit, MI
National Provider Identifier
1174790174
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
GILEAD WELLNESS NETWORK INC
Practice address
11000 W McNichols Rd
Suite 312
Detroit, MI 48221-2357
Phone
(248) 688-5004
Fax
(248) 968-5939
NPI assigned
May 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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

Authorized official

Name
Mr. Cyril C Nwaguru, MA MSW LMSW CSW
Title
President
Phone
(248) 968-8556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

11000 W McNichols Rd
Suite 312
Detroit, MI 48221-2357

Mailing address

11000 W McNichols Rd
Suite 312
Detroit, MI 48221-2357
Phone (248) 688-5004

National Provider Directory

National Provider Directory

Locations

11000 W McNichols Rd
Ste 312
Detroit, MI 48221
Phone (248) 688-5004

NPI Registry JSON

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1174790174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 W MCNICHOLS RD",
            "address_2": "SUITE 312",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212357",
            "telephone_number": "248-688-5004",
            "fax_number": "248-968-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 W MCNICHOLS RD",
            "address_2": "SUITE 312",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212357",
            "telephone_number": "248-688-5004",
            "fax_number": "248-968-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILEAD WELLNESS NETWORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-12-16",
        "status": "A",
        "authorized_official_last_name": "NWAGURU",
        "authorized_official_first_name": "CYRIL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-968-8556",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA MSW LMSW CSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "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 Dec 16, 2008; 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.