Elmhurst Home Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

ELMHURST HOME INC.

Practice address

28762 Franklin River Dr Apt 306
Southfield, MI 48034-5441

Phone

(313) 618-3357

NPI assigned

Jul 7, 2015

Last updated

Jul 7, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brenda A SmithNPI 1376926444

Title

Counselor

Phone

(313) 867-1090

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Brenda Smith

  • Counselor
  • Detroit, MI
  • NPI 1376926444
  Authorized official Same address or phone

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1619350808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28762 FRANKLIN RIVER DR APT 306",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480345441",
            "telephone_number": "313-618-3357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28762 FRANKLIN RIVER DR APT 306",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480345441",
            "telephone_number": "313-618-3357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMHURST HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "313-867-1090"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francine Ellison, NP
• Leonard Eugene Ellison Jr., MD
• Rayford Ellison, PT
• Jamel Ellsberry
• Katie Rose Ellstrom, DNP, RN, PMHNP-BC
• Malak Elmokadam, PA-C
• Elna Care LLC
• Mary Jo Elnick, MD
• Rami Elrefai, DDS
• Sherif Elsherif, MD

• Substance Abuse Rehabilitation Facility in Southfield, MI
• Providers in Southfield, MI by specialty
• Substance Abuse Rehabilitation Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.