Visions House

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

SA0823060 Issued in MI

Legal business name

VISIONS HOUSE

Practice address

182 Farrand Park
Highland Park, MI 48203-3354

Phone

(313) 868-2267

NPI assigned

Nov 2, 2016

Organization subpart

No

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

Authorized official

Name

Kenneth Davis, CPRM CPS

Title

Director

Phone

(313) 460-0343

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1750833166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18426 ROSELAWN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212116",
            "telephone_number": "313-460-0343",
            "fax_number": "313-341-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 FARRAND PARK",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482033354",
            "telephone_number": "313-868-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONS HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-02",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "313-460-0343",
        "authorized_official_credential": "CPRM   CPS"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MI",
            "license": "SA0823060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faatima Umari
• Meghan Alexandra Valade
• Clarice Valdry, RN
• Stephanie Vieira
• Jeanett Villagomezde Muir, MSW
• Vivent Pharmacy Michigan LLC
• Wally S. Mahar, M.D. P.L.L.C.
• Keith Walton, FAODP
• Aliya Deshaun Washington
• David Watkins

• Substance Abuse Rehabilitation Facility in Highland Park, MI
• Providers in Highland Park, MI by specialty
• Substance Abuse Rehabilitation Facility in Michigan

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