Active NPI
True Agape Adult Program
- Adult Day Care Clinic/Center
- Detroit, MI
National Provider Identifier
1417355132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- TRUE AGAPE ADULT PROGRAM
- Practice address
- 1500 E State Fair
Detroit, MI 48203-1258 - Phone
- (313) 974-9953
- Fax
- (947) 282-8999
- NPI assigned
- Dec 11, 2014
- Organization subpart
- Yes
- Parent organization
- TRUE ORACLE OF GOD MINISTRIES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charlotte L Bennett, R.N.
- Title
- Director
- Phone
- (313) 974-9953
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
1500 E State Fair
Detroit, MI 48203-1258
Mailing address
1500 E State Fair
Detroit, MI 48203-1258
Phone (313) 974-9953
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 795232 | Other | MI | STATE BUSINESS ID NUMBER |
National Provider Directory
National Provider Directory- Part of
- True Oracles Ministries
Locations
1500 E State Fair
Detroit, MI 48203
Phone (313) 790-3522
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Detroit, MI
- NPI 1104296169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418256000000",
"number": "1417355132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 E STATE FAIR",
"city": "DETROIT",
"state": "MI",
"postal_code": "482031258",
"telephone_number": "313-974-9953",
"fax_number": "947-282-8999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E STATE FAIR",
"city": "DETROIT",
"state": "MI",
"postal_code": "482031258",
"telephone_number": "313-974-9953",
"fax_number": "947-282-8999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRUE AGAPE ADULT PROGRAM",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TRUE ORACLE OF GOD MINISTRIES",
"enumeration_date": "2014-12-11",
"last_updated": "2014-12-11",
"status": "A",
"authorized_official_last_name": "BENNETT",
"authorized_official_first_name": "CHARLOTTE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "313-974-9953",
"authorized_official_credential": "R.N."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BUSINESS ID NUMBER",
"identifier": "795232",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
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 Dec 11, 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.