Innerman Community Outreach Services

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

INNERMAN COMMUNITY OUTREACH SERVICES

Practice address

239 Cherry St
Trenton, MI 48183-2725

Phone

(313) 656-7972

NPI assigned

Jul 7, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Roderick Gillison Sr.NPI 1205576832

Title

Executive Director

Phone

(313) 656-7972

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.

• Roderick Gillison

  • Addiction (Substance Use Disorder) Counselor
  • Southgate, MI
  • NPI 1205576832
  NPD Authorized official

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1700564903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 CHERRY ST",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832725",
            "telephone_number": "313-656-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 CHERRY ST",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832725",
            "telephone_number": "313-656-7972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERMAN COMMUNITY OUTREACH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "GILLISON",
        "authorized_official_first_name": "RODERICK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "313-656-7972",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianne Howerton, DO
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• Adult Day Care Clinic/Center in Trenton, MI
• Providers in Trenton, MI by specialty
• Adult Day Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.