NPIMap

Organization Active NPI

Victory Unto Salvation Faith Ministries Dba the Philip House Mission

Doing business as The Philip House Mission

  • Substance Abuse Rehabilitation Facility
  • Detroit, MI
National Provider Identifier
1306257852
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
SA0823215 Issued in MI
Legal business name
VICTORY UNTO SALVATION FAITH MINISTRIES DBA THE PHILIP HOUSE MISSION
Doing business as
The Philip House Mission
Practice address
18066 James Couzens Fwy
2305 Pasadena
Detroit, MI 48235-2646
Phone
(313) 828-2202
NPI assigned
May 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Authorized official

Name
Ms. Karrie A Brown
Title
Executive Director
Phone
(313) 828-2202

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X SA0823215 MI
Substance Abuse Rehabilitation Facility 324500000X SA0823215 MI Primary

Addresses

Primary practice location

18066 James Couzens Fwy
2305 Pasadena
Detroit, MI 48235-2646

Mailing address

18066 James Couzens Fwy
Detroit, MI 48235-2646
Phone (313) 828-2202

Other names 1

  • The Philip House Mission Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Philip House Mission2 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

18066 James Couzens Fwy
Detroit, MI 48235

18066 James Couzens Fwy
#2305
Detroit, MI 48235
Phone (313) 828-2202

NPI Registry JSON

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

{
    "created_epoch": "1400284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1306257852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18066 JAMES COUZENS FWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352646",
            "telephone_number": "313-828-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18066 JAMES COUZENS FWY",
            "address_2": "2305 PASADENA",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352646",
            "telephone_number": "313-828-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY UNTO SALVATION FAITH MINISTRIES DBA THE PHILIP HOUSE MISSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-17",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KARRIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "313-828-2202",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MI",
            "license": "SA0823215",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MI",
            "license": "SA0823215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Philip House Mission",
            "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 Jan 26, 2015; 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.