Organization Active NPI

Comprehensive Health Access Resource of Michigan

  • Medical Specialty Clinic/Center
  • Southfield, MI
National Provider Identifier
1649502279
Registry record updated Feb 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
4301022248 Issued in MI
Legal business name
COMPREHENSIVE HEALTH ACCESS RESOURCE OF MICHIGAN
Practice address
29566 Northwestern Hwy
Suite 200
Southfield, MI 48034-1032
Phone
(248) 246-3837
Fax
(734) 451-0603
NPI assigned
Feb 8, 2010
Last updated
Feb 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2010

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

Authorized official

Name
Vineet K Chadha
Title
President
Phone
(248) 246-3837

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 4301022248 MI Primary

Addresses

Primary practice location

29566 Northwestern Hwy
Suite 200
Southfield, MI 48034-1032

Mailing address

29566 Northwestern Hwy
Suite 200
Southfield, MI 48034-1032
Phone (248) 246-3837

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidMI

National Provider Directory

National Provider Directory

Locations

23300 Greenfield Rd
Ste 218
Oak Park, MI 48237
Phone (248) 967-8951

29566 Northwestern Hwy
Ste 200
Southfield, MI 48034
Phone (248) 246-3837

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265587200000",
    "number": "1649502279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29566 NORTHWESTERN HWY",
            "address_2": "SUITE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341032",
            "telephone_number": "248-246-3837",
            "fax_number": "734-451-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29566 NORTHWESTERN HWY",
            "address_2": "SUITE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341032",
            "telephone_number": "248-246-3837",
            "fax_number": "734-451-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE HEALTH ACCESS RESOURCE OF MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2010-02-08",
        "status": "A",
        "authorized_official_last_name": "CHADHA",
        "authorized_official_first_name": "VINEET",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-246-3837"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MI",
            "license": "4301022248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "MI"
        }
    ],
    "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 Feb 8, 2010; 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.