Active NPI
Healthy Kids PLC
- Pediatrics Physician
- Detroit, MI
National Provider Identifier
1235636408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301085754
- Legal business name
- HEALTHY KIDS PLC
- Practice address
- 18060 Conant St
Detroit, MI 48234-1628 - Phone
- (313) 826-0953
- Fax
- (313) 826-0766
- NPI assigned
- Apr 12, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Nidal Ahmed
- Title
- Billing MGR
- Phone
- (313) 999-9510
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301085754 | MI | Primary |
Addresses
Primary practice location
18060 Conant St
Detroit, MI 48234-1628
Mailing address
18060 Conant St
Detroit, MI 48234-1628
Phone (313) 826-0953
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2156513 | Healthy Kids PLC | Certificate of waiver | Oct 18, 2026 |
National Provider Directory
National Provider DirectoryLocations
18060 Conant St
Detroit, MI 48234
Phone (313) 826-0953
Practitioners & affiliated clinicians
Practitioners 1
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": "1523491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739232000000",
"number": "1235636408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18060 CONANT ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482341628",
"telephone_number": "313-826-0953",
"fax_number": "313-826-0766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18060 CONANT ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482341628",
"telephone_number": "313-826-0953",
"fax_number": "313-826-0766"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHY KIDS PLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-12",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A",
"authorized_official_last_name": "AHMED",
"authorized_official_first_name": "NIDAL",
"authorized_official_title_or_position": "BILLING MGR",
"authorized_official_telephone_number": "313-999-9510",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "MI",
"license": "4301085754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
- Healthvest Pharmacy, LLC
- Healthy Choice Community Centered Counseling
- Healthy Choice Pharmacy LLC
- Healthy Enterprise Transit, LLC
- Healthy Heart Counseling Services
- Healthy Living Estates
- Healthy Living Home Care Service
- Healthy Living Medical Supply, LLC
- Healthy Moms and Babies
- Healthy Preferred Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.