Active NPI
Community Health Awareness Group
- Community/Behavioral Health Agency
- Detroit, MI
National Provider Identifier
1417384223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 6801071630
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D1015740 | Community Health Awareness Group | Certificate of waiver | Aug 11, 2027 |
National Provider Directory
National Provider DirectoryLocations
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
- Community Health and Social Services Center, Inc
- Community Health and Social Services Center, Inc (Chass Woodward)
- Community Health and Social Services Center, Inc (Chass SBSS Cca)
- Community Health and Social Services Center, Inc
- Community Health and Social Services Center, Inc. (Chass Pharmacy)
- Community Health Logistics
- Community in Home Care LLC
- Community Social Services of Wayne County
- Community Social Services of Wayne County
- Community Support Solutions
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.