NPIMap

Organization Active NPI

Foundations Detroit,LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Royal Oak, MI
National Provider Identifier
1295182707
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
SA0631390 Issued in MI
Legal business name
FOUNDATIONS DETROIT,LLC
Practice address
117 W 3Rd St
Royal Oak, MI 48067-3831
Phone
(855) 317-8257
Fax
(615) 468-4685
NPI assigned
May 16, 2016
Organization subpart
Yes
Parent organization
FOUNDATIONS RECOVERY NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Authorized official

Name
Steve Filton
Title
Evp-Chief Financial Officer
Phone
(610) 382-3319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X SA0631390 MI Primary

Addresses

Primary practice location

117 W 3Rd St
Royal Oak, MI 48067-3831

Mailing address

1000 Health Park Drive
Building Three, Suite 400
Brentwood, TN 37027
Phone (615) 386-7255

National Provider Directory

National Provider Directory
Tax ID family
Foundations Detroitllc3 organizations share this tax ID, including this one
Part of
Dual Diagnosis Management LLC Dba Palmsprings Serenity Retreat

Other organizations with this tax ID 2

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

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": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1295182707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HEALTH PARK DRIVE",
            "address_2": "BUILDING THREE, SUITE 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "37027",
            "telephone_number": "615-386-7255",
            "fax_number": "615-645-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W 3RD ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673831",
            "telephone_number": "855-317-8257",
            "fax_number": "615-468-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS DETROIT,LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOUNDATIONS RECOVERY NETWORK",
        "enumeration_date": "2016-05-16",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "EVP-CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "610-382-3319"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MI",
            "license": "SA0631390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.