Emmanuel House 1&2 Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

EMMANUEL HOUSE 1&2 INC.

Practice address

18425 Hickory St
Detroit, MI 48205-2707

Phone

(313) 729-4547

Fax

(313) 372-8717

NPI assigned

May 12, 2009

Organization subpart

Yes

Parent organization

EMMANUEL HOUSE 1& 2 INC.As reported in NPPES

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

Authorized official

Name

Mrs. Blanche Renee Foster

Title

Ceo

Phone

(313) 729-4547

Specialties & licenses 2

Addresses

Part of

Emmanuel House 1 2 Inc

Locations

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1376777805",
    "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",
            "fax_number": "313-372-8717"
        },
        {
            "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": "313-372-8717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14655 Gratiot Ave",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482051925",
            "country_code": "US",
            "telephone_number": "313-372-7642",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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": "2009-05-12",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "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",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eminence Home Health
• Emmanuel House
• Emmanuel House
• Emmanuel House
• Emmanuel House 1&2 Inc.
• Eriel Emmer, DO
• Misty Emmert
• Emmi Care LLC
• Bobbi Rae Emmons, RDH
• Tamira Emmons, NP

• Mental Illness Community Based Residential Treatment Facility in Detroit, MI
• Providers in Detroit, MI by specialty
• Mental Illness Community Based Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.