NPIMap

Organization Active NPI

Detroit Health Care for the Homeless

Doing business as AHC FQHC FFS Only Services

  • Federally Qualified Health Center (FQHC)
  • Detroit, MI
National Provider Identifier
1275802258
Registry record updated Sep 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
DETROIT HEALTH CARE FOR THE HOMELESS
Doing business as
AHC FQHC FFS Only Services
Practice address
15400 W McNichols Rd
Detroit, MI 48235-3724
Phone
(313) 835-5990
Fax
(313) 221-8217
NPI assigned
Dec 21, 2011
Last updated
Sep 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2017

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

Authorized official

Name
Mr. Nina W Abukarie
Title
Executive Director
Phone
(313) 416-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

15400 W McNichols Rd
Detroit, MI 48235-3724

Mailing address

100 River Place
Talon Centre BLDG
Detroit, MI 48203-3724
Phone (313) 835-5990

Other names 1

  • AHC FQHC FFS Only Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Detroit Health Care for the Homeless10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506470400000",
    "number": "1275802258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RIVER PLACE",
            "address_2": "TALON CENTRE BLDG",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482033724",
            "telephone_number": "313-835-5990",
            "fax_number": "313-221-8217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15400 W MCNICHOLS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353724",
            "telephone_number": "313-835-5990",
            "fax_number": "313-221-8217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETROIT HEALTH CARE FOR THE HOMELESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-21",
        "last_updated": "2017-09-27",
        "status": "A",
        "authorized_official_last_name": "ABUKARIE",
        "authorized_official_first_name": "NINA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "313-416-6200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AHC FQHC FFS Only Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2017; 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.