NPIMap

Organization Active NPI

The Detroit Recovery Project

  • Community/Behavioral Health Agency
  • Detroit, MI
National Provider Identifier
1760890263
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
SA0823206 Issued in MI
Legal business name
THE DETROIT RECOVERY PROJECT
Practice address
1145 W Grand Blvd
Detroit, MI 48208-2336
Phone
(313) 324-8722
Fax
(313) 365-3098
NPI assigned
Jul 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Authorized official

Name
Kanzoni N Asabigi, MD, PHD
Title
Vice President
Phone
(313) 324-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X SA0823206 MI Primary

Addresses

Primary practice location

1145 W Grand Blvd
Detroit, MI 48208-2336

Mailing address

1145 W Grand Blvd
Detroit, MI 48208-2336
Phone (313) 324-8722

Other identifiers 1

IdentifierTypeStateIssuer
1760890263MedicaidMI

Other names 1

  • Detroit recovery Project, Inc Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.recovery4detroit.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200731002030 MI Part B Supplier - Clinic/Group Practice 1850716226 Receives reassigned benefits from 14 practitioners
1 other NPI on this enrollment
Practice locations: Detroit, MI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593561600000",
    "number": "1760890263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482082336",
            "telephone_number": "313-324-8722",
            "fax_number": "313-365-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482082336",
            "telephone_number": "313-324-8722",
            "fax_number": "313-365-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DETROIT RECOVERY PROJECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-28",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A",
        "authorized_official_last_name": "ASABIGI",
        "authorized_official_first_name": "KANZONI",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "313-324-8900",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "SA0823206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760890263",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.recovery4detroit.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1145 W Grand Blvd",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482082336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Detroit recovery Project, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 1, 2020; 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.