NPIMap

Organization Active NPI

H3 - Hope Healing & Health Inc

  • Clinical Social Worker
  • Saint Clair Shores, MI
National Provider Identifier
1730509993
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801086644 Issued in MI
Legal business name
H3 - HOPE HEALING & HEALTH INC
Practice address
23100 Jefferson Ave
St. Clair Shores, MI 48080-2057
Phone
(586) 335-2006
Fax
(586) 279-3886
NPI assigned
Apr 25, 2014
Last updated
Nov 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Authorized official

Name
Rebecca L. Palen, LMSWNPI 1689934424
Title
Owner/Owner
Phone
(586) 335-2006

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801086644 MI Primary

Addresses

Primary practice location

23100 Jefferson Ave
St. Clair Shores, MI 48080-2057

Mailing address

23100 Jefferson Ave
St. Clair Shores, MI 48080-2057
Phone (586) 335-2006

Other practice location 1

1300 Broadway St Ste 712
Detroit, MI 48226-2202
Phone (586) 335-2006

Other practice location 2

23650 Woodward Ave Ste 201
Pleasant Ridge, MI 48069-1102
Phone (586) 335-2006

Other practice location 3

22811 Greater Mack Ave
Ste. 111
Saint Clair Shores, MI 48080-2021
Phone (586) 335-2006

Other names 1

  • H3 - HOPE, HEALING & HEALTH, LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180221002721 MI Part B Supplier - Clinic/Group Practice 4486915055 Receives reassigned benefits from 16 practitioners
Practice locations: Detroit, MI; Saint Clair Shores, MI

National Provider Directory

National Provider Directory

Locations

1300 Broadway St
Ste 712
Detroit, MI 48226
Phone (586) 335-2006

22811 Greater Mack Ave
Ste 111
Saint Clair Shores, MI 48080
Phone (586) 335-2006

22811 Greater Mack Ave
Ste L2
Saint Clair Shores, MI 48080
Phone (586) 335-2006

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1730509993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23100 JEFFERSON AVE",
            "city": "ST. CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802057",
            "telephone_number": "586-335-2006",
            "fax_number": "586-279-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23100 JEFFERSON AVE",
            "city": "ST. CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802057",
            "telephone_number": "586-335-2006",
            "fax_number": "586-279-3886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Broadway St Ste 712",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482262202",
            "country_code": "US",
            "telephone_number": "586-335-2006",
            "fax_number": "586-279-3886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23650 Woodward Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Pleasant Ridge",
            "state": "MI",
            "postal_code": "480691102",
            "country_code": "US",
            "telephone_number": "586-335-2006",
            "fax_number": "586-279-3886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22811 Greater Mack Ave",
            "address_2": "Ste. 111",
            "address_purpose": "LOCATION",
            "city": "Saint Clair Shores",
            "state": "MI",
            "postal_code": "480802021",
            "country_code": "US",
            "telephone_number": "586-335-2006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "H3 - HOPE HEALING & HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-25",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "PALEN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/OWNER",
        "authorized_official_telephone_number": "586-335-2006",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801086644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "H3 - HOPE, HEALING & HEALTH, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.