NPIMap

Organization Active NPI

Samaritas

  • Community/Behavioral Health Agency
  • Detroit, MI
National Provider Identifier
1740376920
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SAMARITAS
Practice address
8131 E Jefferson Ave
Detroit, MI 48214-2610
Phone
(313) 823-7700
Fax
(313) 823-9604
NPI assigned
Oct 5, 2006
Last updated
Apr 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

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

Authorized official

Name
Jenny Cederstrom
Title
Cfo
Phone
(313) 308-2764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

8131 E Jefferson Ave
Detroit, MI 48214-2610

Mailing address

8131 E Jefferson Ave
Detroit, MI 48214-2610
Phone (313) 823-7700

Other names 2

  • Community Supports Other name
  • Support Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Samaritas Lutheran Michigan9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555372800000",
    "number": "1740376920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8131 E JEFFERSON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482142610",
            "telephone_number": "313-823-7700",
            "fax_number": "313-823-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8131 E JEFFERSON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482142610",
            "telephone_number": "313-823-7700",
            "fax_number": "313-823-9604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2019-04-16",
        "status": "A",
        "authorized_official_last_name": "CEDERSTROM",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "313-308-2764"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Supports",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Support Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; 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.