NPIMap

Organization Active NPI

Anderson House LLC

  • Counselor
  • Southfield, MI
National Provider Identifier
1528392867
Registry record updated Sep 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
822780 Issued in MI
Legal business name
ANDERSON HOUSE LLC
Practice address
28366 Franklin River Dr Apt 106
Southfield, MI 48034-5409
Phone
(313) 205-0411
Fax
(248) 996-8478
NPI assigned
Sep 18, 2009
Last updated
Sep 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2009

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

Authorized official

Name
Mr. Edward Manuel Anderson Jr., CAC CPC
Title
Ceo
Phone
(313) 205-0411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 822780 MI Primary

Addresses

Primary practice location

28366 Franklin River Dr Apt 106
Southfield, MI 48034-5409

Mailing address

28366 Franklin River Dr Apt 106
Southfield, MI 48034-5409
Phone (313) 205-0411

National Provider Directory

National Provider Directory
Tax ID family
Anderson House LLC2 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": "1253232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253232000000",
    "number": "1528392867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28366 FRANKLIN RIVER DR APT 106",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480345409",
            "telephone_number": "313-205-0411",
            "fax_number": "248-996-8478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28366 FRANKLIN RIVER DR APT 106",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480345409",
            "telephone_number": "313-205-0411",
            "fax_number": "248-996-8478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-18",
        "last_updated": "2009-09-18",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-205-0411",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CAC CPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "822780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; 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.