NPIMap

Organization Active NPI

New Life Home for Recovering Women, Inc.

  • Substance Abuse Rehabilitation Facility
  • Detroit, MI
National Provider Identifier
1205969441
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
NEW LIFE HOME FOR RECOVERING WOMEN, INC.
Practice address
17131 Gitre St
Detroit, MI 48205-3161
Phone
(313) 245-4357
Fax
(313) 371-6139
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Patricia Diane Hornbuckle, B.S., MPA
Title
Executive Dirctor
Phone
(313) 245-4357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

17131 Gitre St
Detroit, MI 48205-3161

Mailing address

17131 Gitre St
Detroit, MI 48205-3161
Phone (313) 245-4357

National Provider Directory

National Provider Directory

Locations

17131 Gitre St
Detroit, MI 48205
Phone (313) 245-4357

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205969441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17131 GITRE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482053161",
            "telephone_number": "313-245-4357",
            "fax_number": "313-371-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17131 GITRE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482053161",
            "telephone_number": "313-245-4357",
            "fax_number": "313-371-6139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE HOME FOR RECOVERING WOMEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HORNBUCKLE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "EXECUTIVE DIRCTOR",
        "authorized_official_telephone_number": "313-245-4357",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.S., MPA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "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 Aug 22, 2020; 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.