Centria Healthcare

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

247200000 Issued in MI

Legal business name

CENTRIA HEALTHCARE

Practice address

17361 Prest St
Detroit, MI 48235-3731

Phone

(313) 736-8564

NPI assigned

Mar 3, 2015

Organization subpart

No

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

Authorized official

Name

Pamela Washington, SOCIAL WORKER

Title

Technician

Phone

(313) 736-8564

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1669864484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17361 PREST ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353731",
            "telephone_number": "313-736-8564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17361 PREST ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353731",
            "telephone_number": "313-736-8564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRIA HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-03",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "TECHNICIAN",
        "authorized_official_telephone_number": "313-736-8564",
        "authorized_official_credential": "SOCIAL WORKER"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MI",
            "license": "247200000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brook Centofanti, DO
• Central Care Management Organization
• Centria
• Centria Healthcare
• Centria Healthcare
• Century Living Inc
• Eugene E Cepeda, MD
• Lina Cepeda, CRNA
• Lou Cercado, RPT
• Clare E Ceresnie, MS, OTR/L

• Case Management Agency in Detroit, MI
• Providers in Detroit, MI by specialty
• Case Management Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.