Organization Active NPI

True Agape Adult Program

  • Adult Day Care Clinic/Center
  • Detroit, MI
National Provider Identifier
1417355132
Registry record updated Dec 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
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 MINISTRIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 11, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
795232OtherMISTATE 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.

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.

Verify at the official NPI Registry.