Active NPI
Emmanuel House 1&2 Inc.
- Clinical Social Worker
- Detroit, MI
National Provider Identifier
1346806940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- EMMANUEL HOUSE 1&2 INC.
- Practice address
- 14655 Gratiot Ave
Detroit, MI 48205-1925 - Phone
- (313) 729-4547
- NPI assigned
- May 20, 2019
- Organization subpart
- Yes
- Parent organization
- EMMANUEL HOUSE 1&2 INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Blanche Renee Foster
- Title
- Ceo
- Phone
- (313) 729-4547
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | Primary | ||
| Adult Day Care Clinic/Center | 261QA0600X |
Addresses
Primary practice location
14655 Gratiot Ave
Detroit, MI 48205-1925
Mailing address
18425 Hickory St
Detroit, MI 48205-2707
Phone (313) 729-4547
Other practice location 1
13560 E. McNichols
Suite 142D
Detroit, MI 48205
Phone (313) 458-8268
Other names 1
- Peaceful Surrounding
National Provider Directory
National Provider Directory- Part of
- Emmanuel House 1 2 Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1633478400000",
"number": "1346806940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18425 HICKORY ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482052707",
"telephone_number": "313-729-4547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14655 GRATIOT AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482051925",
"telephone_number": "313-729-4547"
}
],
"practiceLocations": [
{
"address_1": "13560 E. McNichols",
"address_2": "Suite 142D",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "48205",
"country_code": "US",
"telephone_number": "313-458-8268",
"fax_number": "313-305-7079",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "EMMANUEL HOUSE 1&2 INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EMMANUEL HOUSE 1&2 INC.",
"enumeration_date": "2019-05-20",
"last_updated": "2021-10-06",
"certification_date": "2021-10-06",
"status": "A",
"authorized_official_last_name": "FOSTER",
"authorized_official_first_name": "BLANCHE",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "313-729-4547"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Peaceful Surrounding",
"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 Oct 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.