Great Futures Maternal Infant Health Program, LLC

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

6802080544 Issued in MI

Legal business name

GREAT FUTURES MATERNAL INFANT HEALTH PROGRAM, LLC

Practice address

15892 Orchard LN
Roseville, MI 48066-5215

Phone

(313) 737-0018

NPI assigned

Jul 29, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Lashawn Myers, MSW

Title

Social Worker

Phone

(313) 737-0018

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1639587199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15892 ORCHARD LN",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480665215",
            "telephone_number": "313-737-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15892 ORCHARD LN",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480665215",
            "telephone_number": "313-737-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT FUTURES MATERNAL INFANT HEALTH PROGRAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "LASHAWN",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "313-737-0018",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MI",
            "license": "6802080544",
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MI",
            "license": "6802080544",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6802080544",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Public Health or Welfare Agency in Roseville, MI
• Providers in Roseville, MI by specialty
• Public Health or Welfare Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.