Methodist Children's Home Society

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

C1820201294 Issued in MI

Legal business name

METHODIST CHILDREN'S HOME SOCIETY

Practice address

26645 W 6 Mile Rd
Redford, MI 48240-2319

Phone

(313) 531-4060

Fax

(313) 531-1040

NPI assigned

Jan 5, 2007

Last updated

Jul 15, 2008By 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

Mr. Henry M. Kassen

Title

Asst. Exec. Director - Finance

Phone

(313) 531-9970

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1659428167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26645 W 6 MILE RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482402319",
            "telephone_number": "313-153-1406",
            "fax_number": "313-531-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26645 W 6 MILE RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482402319",
            "telephone_number": "313-531-4060",
            "fax_number": "313-531-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST CHILDREN'S HOME SOCIETY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "KASSEN",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ASST. EXEC. DIRECTOR - FINANCE",
        "authorized_official_telephone_number": "313-531-9970",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "MI",
            "license": "C1820201294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emotionally Disturbed Childrens' Residential Treatment Facility in Redford, MI
• Providers in Redford, MI by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.