NPIMap

Organization Active NPI

Metrocare Health Services

  • Internal Medicine Physician
  • Detroit, MI
National Provider Identifier
1487823803
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
METROCARE HEALTH SERVICES
Practice address
13800 Livernois Ave
Detroit, MI 48238-4510
Phone
(313) 935-0481
NPI assigned
Feb 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Authorized official

Name
Cedric Hudson
Title
Owner
Phone
(313) 935-0481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

13800 Livernois Ave
Detroit, MI 48238-4510

Mailing address

13800 Livernois Ave
Detroit, MI 48238-4510
Phone (313) 935-0481

National Provider Directory

National Provider Directory
Tax ID family
Metro Care Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1487823803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13800 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482384510",
            "telephone_number": "313-935-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13800 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482384510",
            "telephone_number": "313-935-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROCARE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "CEDRIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-935-0481"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Feb 29, 2008; 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.