Active NPI
Southeast Michigan Community Alliance
- Substance Use Disorder Rehabilitation Clinic/Center
- Taylor, MI
National Provider Identifier
1255470472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- SOUTHEAST MICHIGAN COMMUNITY ALLIANCE
- Practice address
- 25363 Eureka Rd
Taylor, MI 48180-5051 - Phone
- (734) 229-3500
- Fax
- (734) 229-3501
- NPI assigned
- Feb 5, 2007
- 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
- Mr. Lance William Hellar Jr.
- Title
- Chief Information Officer
- Phone
- (734) 229-3527
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
25363 Eureka Rd
Taylor, MI 48180-5051
Mailing address
25363 Eureka Rd
Taylor, MI 48180-5051
Phone (734) 229-3500
National Provider Directory
National Provider DirectoryLocations
25363 Eureka Rd
Taylor, MI 48180
Phone (734) 229-3500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184198400000",
"number": "1255470472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25363 EUREKA RD",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481805051",
"telephone_number": "734-229-3500",
"fax_number": "734-229-3501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25363 EUREKA RD",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481805051",
"telephone_number": "734-229-3500",
"fax_number": "734-229-3501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHEAST MICHIGAN COMMUNITY ALLIANCE",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-05",
"last_updated": "2007-07-12",
"status": "A",
"authorized_official_last_name": "HELLAR",
"authorized_official_first_name": "LANCE",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "CHIEF INFORMATION OFFICER",
"authorized_official_telephone_number": "734-229-3527",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Taylor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.