NPIMap

Organization Active NPI

Community Social Services of Wayne County

  • Community/Behavioral Health Agency
  • Dearborn, MI
National Provider Identifier
1417178609
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
820537 Issued in MI
Legal business name
COMMUNITY SOCIAL SERVICES OF WAYNE COUNTY
Practice address
19855 West Outer Dr
Suite 207-E
Dearborn, MI 48124-2028
Phone
(313) 792-9286
Fax
(313) 792-0444
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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

Authorized official

Name
Mr. Patrick J Heron
Title
President & Ceo
Phone
(313) 883-2339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 820537 MI Primary

Addresses

Primary practice location

19855 West Outer Dr
Suite 207-E
Dearborn, MI 48124-2028

Mailing address

9851 Hamilton Ave
Detroit, MI 48202-1424
Phone (313) 883-2100

National Provider Directory

National Provider Directory
Tax ID family
Community Social Services of Wayne County4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

19855 Outer Dr
Ste 207E
Dearborn, MI 48124
Phone (313) 792-9286

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1417178609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9851 HAMILTON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482021424",
            "telephone_number": "313-883-2100",
            "fax_number": "313-883-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19855 WEST OUTER DR",
            "address_2": "SUITE 207-E",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242028",
            "telephone_number": "313-792-9286",
            "fax_number": "313-792-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SOCIAL SERVICES OF WAYNE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "HERON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "313-883-2339",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "820537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.