NPIMap

Organization Active NPI

Y.a.D.

Doing business as Emmanuel House 1&2 Inc.

  • Adult Day Care Clinic/Center
  • Detroit, MI
National Provider Identifier
1316244965
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
261QA0600X Issued in MI
Legal business name
Y.A.D.
Doing business as
Emmanuel House 1&2 Inc.
Practice address
18425 Hickory St
Detroit, MI 48205-2707
Phone
(313) 729-4547
Fax
(313) 821-8683
NPI assigned
Feb 17, 2011
Last updated
Feb 17, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
EMMANUEL HOUSE 1&2 INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Authorized official

Name
Mrs. Blanche Renee Foster
Title
Executive Director
Phone
(313) 729-4547

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 261QA0600X MI Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 261QR0405X MI

Addresses

Primary practice location

18425 Hickory St
Detroit, MI 48205-2707

Mailing address

PO Box 13185
Detroit, MI 48213-0185
Phone (313) 729-4547

Other identifiers 1

IdentifierTypeStateIssuer
2387424MedicaidMI

Other names 1

  • Emmanuel House 1&2 Inc. Doing business as

National Provider Directory

National Provider Directory
Part of
Yad

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1316244965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13185",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482130185",
            "telephone_number": "313-729-4547",
            "fax_number": "313-821-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18425 HICKORY ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482052707",
            "telephone_number": "313-729-4547",
            "fax_number": "313-821-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Y.A.D.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMMANUEL HOUSE 1&2 INC.",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "BLANCHE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "313-729-4547",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MI",
            "license": "261QA0600X",
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MI",
            "license": "261QR0405X",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2387424",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emmanuel House 1&2 Inc.",
            "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 Feb 17, 2011; 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.