Organization Active NPI

Family Health Center & Rehab Inc

  • Child Physical Disabilities Respite Care
  • Hamtramck, MI
National Provider Identifier
1225389141
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Physical Disabilities Respite CareTaxonomy code 385HR2065X
License
2301007986 Issued in MI
Legal business name
FAMILY HEALTH CENTER & REHAB INC
Practice address
9743 Conant St
Hamtramck, MI 48212-3306
Phone
(313) 874-3130
Fax
(313) 874-3178
NPI assigned
Oct 2, 2012
Last updated
Apr 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Authorized official

Name
Dr. Khalid M Almasmari, D.C.NPI 1639392707
Title
President
Phone
(313) 874-3130

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Physical Disabilities Respite Care 385HR2065X 2301007986 MI Primary

Addresses

Primary practice location

9743 Conant St
Hamtramck, MI 48212-3306

Mailing address

9743 Conant St
Hamtramck, MI 48212-3306
Phone (313) 874-3130

Other identifiers 1

IdentifierTypeStateIssuer
14 4160343MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121022000163 MI Part B Supplier - Clinic/Group Practice 0749430171 Receives reassigned benefits from 1 practitioner
Practice locations: Hamtramck, MI

National Provider Directory

National Provider Directory

Locations

9743 Conant St
Hamtramck, MI 48212
Phone (313) 874-3130

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1225389141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9743 CONANT ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123306",
            "telephone_number": "313-874-3130",
            "fax_number": "313-874-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9743 CONANT ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123306",
            "telephone_number": "313-874-3130",
            "fax_number": "313-874-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH CENTER & REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "ALMASMARI",
        "authorized_official_first_name": "KHALID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-874-3130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": "MI",
            "license": "2301007986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14 4160343",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamtramck, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.