NPIMap

Organization Active NPI

Michigan Warriors

  • Community Health Worker
  • Redford, MI
National Provider Identifier
1700767308
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
MICHIGAN WARRIORS
Practice address
22206 W Warren Ave
Redford, MI 48239-1024
Phone
(313) 804-8635
Fax
(517) 515-7469
NPI assigned
Sep 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Authorized official

Name
Taylor Lockridge, CCHWNPI 1679465959
Title
Executive Director
Phone
(313) 804-8635

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 172V00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

22206 W Warren Ave
Redford, MI 48239-1024

Mailing address

22430 Gratiot Ave Unit 227
Eastpointe, MI 48021-7011
Phone (313) 804-8635

National Provider Directory

National Provider Directory
Tax ID family
Michigan Warriors2 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.

Locations

8633 Southfield Fwy
Detroit, MI 48228
Phone (313) 296-1170

22430 Gratiot Ave
Unit 227
Eastpointe, MI 48021

22206 W Warren Ave
Redford, MI 48239

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782950400000",
    "number": "1700767308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22430 GRATIOT AVE UNIT 227",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480217011",
            "telephone_number": "313-804-8635",
            "fax_number": "517-515-7469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22206 W WARREN AVE",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482391024",
            "telephone_number": "313-804-8635",
            "fax_number": "517-515-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN WARRIORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-10",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A",
        "authorized_official_last_name": "LOCKRIDGE",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "313-804-8635",
        "authorized_official_credential": "CCHW"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.