Organization Active NPI

Southeast Michigan Community Alliance

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Taylor, MI
National Provider Identifier
1255470472
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
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

Updated by the provider on Jul 12, 2007

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.