Detroit Infant Health

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

DETROIT INFANT HEALTH

Practice address

30201 Orchard Lake Rd BLDG 112
Farmington Hills, MI 48334-2277

Phone

(248) 592-0288

NPI assigned

Dec 9, 2015

Organization subpart

No

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

Authorized official

Name

Shavohn Rowser

Title

Owner

Phone

(248) 417-0752

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1730554205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30201 ORCHARD LAKE RD BLDG 112",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342277",
            "telephone_number": "248-592-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30201 ORCHARD LAKE RD BLDG 112",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342277",
            "telephone_number": "248-592-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETROIT INFANT HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "ROWSER",
        "authorized_official_first_name": "SHAVOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-417-0752"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shannon Dettor
• Sarah A Dettore
• Heather Deuel

• Case Management Agency in Farmington Hills, MI
• Providers in Farmington Hills, 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 Oct 17, 2016; 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.