Organization Active NPI

Victoria Sutton

Doing business as Active Family Health Services

  • Health Maintenance Organization
  • Detroit, MI
National Provider Identifier
1558610832
Registry record updated Sep 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
VICTORIA SUTTON
Doing business as
Active Family Health Services
Practice address
14863 Sorrento St
Detroit, MI 48227-3601
Phone
(847) 972-1709
NPI assigned
Sep 2, 2012
Organization subpart
Yes
Parent organization
VICTORIA SUTTONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 2, 2012

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

Authorized official

Name
Ms. Victoria Sutton
Title
Executive Director
Phone
(847) 972-1709

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

14863 Sorrento St
Detroit, MI 48227-3601

Mailing address

14863 Sorrento St
Detroit, MI 48227-3601
Phone (847) 972-1709

Other names 1

  • ACTIVE FAMILY HEALTH SERVICES Doing business as

National Provider Directory

National Provider Directory
Part of
Victoria Sutton

NPI Registry JSON

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

{
    "created_epoch": "1346544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346544000000",
    "number": "1558610832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14863 SORRENTO ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482273601",
            "telephone_number": "847-972-1709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14863 SORRENTO ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482273601",
            "telephone_number": "847-972-1709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA SUTTON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VICTORIA SUTTON",
        "enumeration_date": "2012-09-02",
        "last_updated": "2012-09-02",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "847-972-1709",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACTIVE FAMILY HEALTH SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 2, 2012; 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.