NPIMap

Organization Active NPI

Services to Enhance Potential

  • Developmentally Disabled Services Day Training Agency
  • Dearborn, MI
National Provider Identifier
1295844454
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
SERVICES TO ENHANCE POTENTIAL
Practice address
2941 S Gulley Rd
Dearborn, MI 48124-3160
Phone
(313) 278-3040
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Susan Elizabeth Valasco, CPA
Title
Cehif Financial Officer
Phone
(313) 278-3040

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

2941 S Gulley Rd
Dearborn, MI 48124-3160

Mailing address

2941 S Gulley Rd
Dearborn, MI 48124-3160
Phone (313) 278-3040

Other identifiers 1

IdentifierTypeStateIssuer
2616746MedicaidMI

Other names 1

  • Wayne County Association for the Retarded Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160420002644 MI Part B Supplier - Clinic/Group Practice 3870891005 Receives reassigned benefits from 1 practitioner
Practice locations: Dearborn, MI

National Provider Directory

National Provider Directory
Tax ID family
Services to Enhance Potential2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2941 S Gulley Rd
Dearborn, MI 48124
Phone (313) 278-3040

Practitioners & affiliated clinicians

Practitioners 8

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1295844454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2941 S GULLEY RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243160",
            "telephone_number": "313-278-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2941 S GULLEY RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243160",
            "telephone_number": "313-278-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICES TO ENHANCE POTENTIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "VALASCO",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEHIF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "313-278-3040",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2616746",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wayne County Association for the Retarded",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.