Justin Charge Enterprises Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

JUSTIN CHARGE ENTERPRISES INC

Practice address

37156 Robinhood Dr Apt 111
Sterling Heights, MI 48312-2382

Phone

(586) 610-3656

Fax

(586) 250-0425

NPI assigned

May 27, 2021

Last updated

May 27, 2021By 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. Justin Michael Thorne, BA QIDP QMHPNPI 1386985471

Title

President/Supports Coordinator

Phone

(586) 610-3656

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Justin Thorne, BA

  • Clinical Social Worker
  • Sterling Heights, MI
  • NPI 1386985471
  NPD Authorized official

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1689240921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37156 ROBINHOOD DR APT 111",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483122382",
            "telephone_number": "586-610-3656",
            "fax_number": "586-250-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37156 ROBINHOOD DR APT 111",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483122382",
            "telephone_number": "586-610-3656",
            "fax_number": "586-250-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN CHARGE ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "THORNE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/SUPPORTS COORDINATOR",
        "authorized_official_telephone_number": "586-610-3656",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA QIDP QMHP"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Sterling Heights, MI
• Providers in Sterling Heights, 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 May 27, 2021; 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.