Detroit United Village

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

DETROIT UNITED VILLAGE

Practice address

2500 W Philadelphia St
Detroit, MI 48206-2494

Phone

(313) 427-4164

NPI assigned

Nov 10, 2019

Last updated

Nov 17, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Keiera Benson

Title

Revenue Cycle Manager

Phone

(313) 856-2636

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1573344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573948800000",
    "number": "1235774639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W PHILADELPHIA ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482062494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W PHILADELPHIA ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482062494",
            "telephone_number": "313-427-4164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETROIT UNITED VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-10",
        "last_updated": "2019-11-17",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "KEIERA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "313-856-2636"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Detroit Root Canal Specialists, PC
• Detroit RX LLC (Detroit RX)
• Detroit Sleep Solutions,PC
• Detroit Spine & Wellness PC
• Detroit Therapy, LLC
• Detroit Vamc
• Detroit Vamc
• Detroit Vamc
• Detroit Vamc
• Detroit Wayne County Community Mental Health Agency

• Home Health Aide in Detroit, MI
• Providers in Detroit, MI by specialty
• Home Health Aide in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2019; 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.