Organization Active NPI

Detroit Health Care for the Homeless

  • Federally Qualified Health Center (FQHC)
  • Detroit, MI
National Provider Identifier
1285735845
Registry record updated Sep 3, 2008
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
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

Updated by the provider on Sep 3, 2008

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.