NPIMap

Organization Active NPI

Vista Maria Good Shepherd

  • Community/Behavioral Health Agency
  • Dearborn Heights, MI
National Provider Identifier
1497928816
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
VISTA MARIA GOOD SHEPHERD
Practice address
20651 West Warren
Dearborn Heights, MI 48127
Phone
(313) 271-3050
NPI assigned
Apr 7, 2008
Last updated
Apr 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Authorized official

Name
Latonya HowardNPI 1609891100
Title
Program Manager
Phone
(313) 271-3050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

20651 West Warren
Dearborn Heights, MI 48127

Mailing address

20651 West Warren
Dearborn Heights, MI 48127

Other names 1

  • Program Manager Other name

National Provider Directory

National Provider Directory
Tax ID family
Program Manager2 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.

  • Vista Maria
    • Emotionally Disturbed Childrens' Residential Treatment Facility
    • Dearborn Heights, MI
    • NPI 1477639458
    NPD tax ID

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1497928816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20651 WEST WARREN",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "48127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20651 WEST WARREN",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "48127",
            "telephone_number": "313-271-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA MARIA GOOD SHEPHERD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "LATONYA",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "313-271-3050"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Program Manager",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dearborn Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.