NPIMap

Organization Active NPI

Shar House

  • Community/Behavioral Health Agency
  • Detroit, MI
National Provider Identifier
1568868420
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
C-00896 Issued in MI
Legal business name
SHAR HOUSE
Practice address
1852 W Grand Blvd
Detroit, MI 48208-1006
Phone
(313) 894-8444
NPI assigned
Nov 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Authorized official

Name
Mr. Donald R Moore, MSW/CAADC
Title
Therapist
Phone
(313) 974-1940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X C-00896 MI Primary

Addresses

Primary practice location

1852 W Grand Blvd
Detroit, MI 48208-1006

Mailing address

1852 W Grand Blvd
Detroit, MI 48208-1006
Phone (313) 894-8444

National Provider Directory

National Provider Directory
Tax ID family
Shar Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1568868420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1852 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482081006",
            "telephone_number": "313-894-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1852 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482081006",
            "telephone_number": "313-894-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAR HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "313-974-1940",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW/CAADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "C-00896",
            "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 Nov 5, 2014; 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.