Active NPI
Detroit Health Care for the Homeless
- Federally Qualified Health Center (FQHC)
- Detroit, MI
National Provider Identifier
1285735845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- DETROIT HEALTH CARE FOR THE HOMELESS
- Practice address
- 20548 Fenkell
Detroit, MI 48223 - Phone
- (313) 255-3333
- Fax
- (313) 255-8679
- NPI assigned
- Sep 26, 2006
- 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
- Ms. Patricia Soares, MPH, RN
- Title
- Interim Executive Director
- Phone
- (313) 255-3333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | MI | Primary |
Addresses
Primary practice location
20548 Fenkell
Detroit, MI 48223
Mailing address
20548 Fenkell
Detroit, MI 48223
Phone (313) 255-3333
Other names 1
- dba Advantage Health Centers
National Provider Directory
National Provider DirectoryLocations
20548 Fenkell St
Detroit, MI 48223
Phone (313) 255-3333
101 E Alexandrine St
Detroit, MI 48201
Phone (313) 416-6262
4669 E 8 Mile Rd
Warren, MI 48091
Phone (313) 416-6200
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Southgate, MI
- NPI 1992390157
-
- Obstetrics & Gynecology Physician
- Southfield, MI
- NPI 1689630089
-
- Physician Assistant
- Livonia, MI
- NPI 1134801756
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1750323432
-
- Family Medicine Physician
- Ann Arbor, MI
- NPI 1669739041
-
- Medical Physician Assistant
- Detroit, MI
- NPI 1316135379
-
- Family Medicine Physician
- Shreveport, LA
- NPI 1538521331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220400000000",
"number": "1285735845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20548 FENKELL",
"city": "DETROIT",
"state": "MI",
"postal_code": "48223",
"telephone_number": "313-255-3333",
"fax_number": "313-255-8679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20548 FENKELL",
"city": "DETROIT",
"state": "MI",
"postal_code": "48223",
"telephone_number": "313-255-3333",
"fax_number": "313-255-8679"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DETROIT HEALTH CARE FOR THE HOMELESS",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-26",
"last_updated": "2008-09-03",
"status": "A",
"authorized_official_last_name": "SOARES",
"authorized_official_first_name": "PATRICIA",
"authorized_official_title_or_position": "INTERIM EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "313-255-3333",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MPH, RN"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "dba Advantage Health Centers",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Detroit, MI
- Detroit Health and Wellness, PLLC
- Detroit Health Care for the Homeless
- Detroit Health Care for the Homeless
- Detroit Health Care for the Homeless
- Detroit Health Care for the Homeless
- Detroit Health Care for the Homeless
- Detroit Health Care for the Homeless
- Detroit Health Care for the Homeless
- Detroit Health Care for the Homeless
- Detroit Health Care for the Homeless
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.