Organization Active NPI

Community Health Awareness Group

  • Community/Behavioral Health Agency
  • Detroit, MI
National Provider Identifier
1417384223
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6801071630 Issued in MI
Legal business name
COMMUNITY HEALTH AWARENESS GROUP
Practice address
1300 W Fort St
Detroit, MI 48226-3007
Phone
(313) 963-3434
Fax
(313) 963-1832
NPI assigned
Oct 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

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

Authorized official

Name
Ms. Christina Fluker, LMSW
Title
Director of Clinical Services
Phone
(313) 963-3434

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6801071630 MI Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

1300 W Fort St
Detroit, MI 48226-3007

Mailing address

1300 W Fort St
Detroit, MI 48226-3007
Phone (313) 963-3434

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D1015740Community Health Awareness Group1300 W Fort Street, Detroit, MI 48226Certificate of waiverAug 11, 2027

National Provider Directory

National Provider Directory

Locations

1300 W Fort St
Detroit, MI 48226
Phone (313) 378-6032

NPI Registry JSON

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

{
    "created_epoch": "1381449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1417384223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W FORT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482263007",
            "telephone_number": "313-963-3434",
            "fax_number": "313-963-1832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W FORT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482263007",
            "telephone_number": "313-963-3434",
            "fax_number": "313-963-1832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH AWARENESS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-11",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "FLUKER",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "313-963-3434",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801071630",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Nov 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.