Wayne Children'S Healthcare Access Program

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

WAYNE CHILDREN'S HEALTHCARE ACCESS PROGRAM

Doing business as

WCHAP

Practice address

17567 Hubbell St
Detroit, MI 48235-2708

Phone

(313) 863-2427

Fax

(313) 863-5183

NPI assigned

Jul 1, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Jametta Lilly

Title

Chief Executive Officer

Phone

(313) 863-2427

Specialties & licenses 1

Addresses

Other names 1

• WCHAP Doing business as

Locations

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1215377528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17567 HUBBELL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352708",
            "telephone_number": "313-863-2427",
            "fax_number": "313-863-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17567 HUBBELL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352708",
            "telephone_number": "313-863-2427",
            "fax_number": "313-863-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE CHILDREN'S HEALTHCARE ACCESS PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-01",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "LILLY",
        "authorized_official_first_name": "JAMETTA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "313-863-2427",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WCHAP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tyneshia Watts, L.M.S.W
• Wave Medical Center PLLC
• Jonathan Waxman
• Victoria Alexandra Anna Waye, MSN, APRN, FNP-BC
• Wayne Campus Pharmacy LLC
• Wayne County Airport Authority
• Wayne County Children Family Services
• Wayne County Jail
• Wayne County Jail Pharmacy
• Wayne County Juvenile Detention Facility

• Case Management Agency in Detroit, MI
• Providers in Detroit, MI by specialty
• Case Management Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.