NPIMap

Organization Active NPI

American Indian Health and Family Services of Southeastern Mi Inc

  • Federally Qualified Health Center (FQHC)
  • Detroit, MI
National Provider Identifier
1366552804
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
AMERICAN INDIAN HEALTH AND FAMILY SERVICES OF SOUTHEASTERN MI INC
Practice address
4880 Lawndale St
Detroit, MI 48210-2010
Phone
(313) 846-3718
Fax
(833) 764-5716
NPI assigned
Aug 30, 2006
Last updated
Oct 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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

Authorized official

Name
Youmna El-Ayache
Title
Director of Finance
Phone
(313) 846-3718

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
Family Medicine Physician 207Q00000X NU
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

4880 Lawndale St
Detroit, MI 48210-2010

Mailing address

PO Box 810
Dearborn, MI 48121-0810
Phone (313) 846-3718

Other practice location 1

4559 Wesson St.
Detroit, MI 48210
Phone (313) 846-3718 ext. 1000

Other identifiers 1

IdentifierTypeStateIssuer
0H21011OtherMIBCBSM PIN/FACILITY CODE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040910001248 MI Part B Supplier - Clinic/Group Practice 4587631429 Receives reassigned benefits from 10 practitioners
Practice locations: Detroit, MI
O20140728002629 MI Part A Provider - Federally Qualified Health Center (FQHC) 4587631429 Practice locations: Detroit, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366552804. Details of each certification follow.

Federally qualified health center certification: CCN 231034

Legal name
AMERICAN INDIAN HEALTH AND FAMILY SERVICES OF SOUTHEASTERN MI INC
Doing business as
AMERICAN INDIAN HEALTH AND FAMILY SERVICES OF SOUTHEASTERN MI INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 29, 2014
Last certification
Jul 29, 2014
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
4880 Lawndale St
Detroit, MI 48210-2010

National Provider Directory

National Provider Directory
Tax ID family
American Indian Health and Family Servic2 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.

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
April Slaven Individual W-2 Managing EmployeeBiller/Coder Aug 29, 2021
Emily Chasity Dial Individual Corporate OfficerCeo Jun 19, 2019

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

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": "1791504000000",
    "number": "1366552804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 810",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481210810",
            "telephone_number": "313-846-3718",
            "fax_number": "313-846-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 LAWNDALE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482102010",
            "telephone_number": "313-846-3718",
            "fax_number": "833-764-5716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4559 Wesson St.",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "48210",
            "country_code": "US",
            "telephone_number": "313-846-3718 x1000",
            "fax_number": "833-764-5716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMERICAN INDIAN HEALTH AND FAMILY SERVICES OF SOUTHEASTERN MI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A",
        "authorized_official_last_name": "EL-AYACHE",
        "authorized_official_first_name": "YOUMNA",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "313-846-3718"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM PIN/FACILITY CODE",
            "identifier": "0H21011",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.