Mother's Friend Maternal/Infant Support Services

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

MOTHER'S FRIEND MATERNAL/INFANT SUPPORT SERVICES

Practice address

16250 Northland Dr
Southfield, MI 48075-5208

Phone

(248) 559-5722

Fax

(248) 559-5622

NPI assigned

Sep 6, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Dashuna Relieu Johnson, RN

Title

Ceo

Phone

(248) 559-5722

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Mother's Friend Maternalinfant Support Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mothers Friend Maternal Infant Support Services

  • Public Health & General Preventive Medicine Physician
  • Southfield, MI
  • NPI 1891853479
  NPD tax ID

Locations

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669466611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14401 GREENVIEW RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232913",
            "telephone_number": "248-559-5722",
            "fax_number": "248-559-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16250 NORTHLAND DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755208",
            "telephone_number": "248-559-5722",
            "fax_number": "248-559-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTHER'S FRIEND MATERNAL/INFANT SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DASHUNA",
        "authorized_official_middle_name": "RELIEU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-559-5722",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4556235",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kandice Moss, LLPC
• Lashaaisha Moss, FNP-C
• Myla Denise Moss
• Rasik Mostafa
• Skye Moten
• Mother's Friend Mihp2
• Mothers Friend Maternal Infant Support Services
• Rebecca Kathleene Motley, M.D.
• Motor City Drip Hydration and Wellness LLC
• Motor City Drip Hydration and Wellness LLC (MCD Hydration and Wellness)

• Public Health or Welfare Agency in Southfield, MI
• Providers in Southfield, 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 Aug 22, 2020; 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.