St. Ruth's House of Hope LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

ST. RUTH'S HOUSE OF HOPE LLC

Practice address

3100 S Electric St
Detroit, MI 48217-1133

Phone

(313) 974-9487

NPI assigned

Aug 21, 2020

Last updated

Aug 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tywanna TannerNPI 1518438332

Title

Owner

Phone

(313) 974-9487

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Tywanna R Tanner, NURSE PRACTITIONER

  • Nurse Practitioner
  • Lincoln Park, MI
  • NPI 1518438332
  NPD Authorized official
• Keith Tanner

  • Contractor
  • Detroit, MI
  • NPI 1134858236
  NPD

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597968000000",
    "number": "1790397594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16656 PARKSIDE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482213153",
            "telephone_number": "313-974-9487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 S ELECTRIC ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482171133",
            "telephone_number": "313-974-9487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. RUTH'S HOUSE OF HOPE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-21",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "TYWANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-974-9487",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. John Hospital Corporation (St. John OB Clinic MSSP)
• St. John Providence Community Health
• St. Joseph Medical Center PC
• St. Michael Nursing Center
• St. Patrick Senior Center, Inc
• St. Vincent de Paul Detroit Dental
• John Charles Stabb, PAC
• Brad A Stach, PH.D.
• Elizabeth Stacheit, PA-C
• Margaret Dana Stachurski, D.O.

• Adult Care Home Facility in Detroit, MI
• Providers in Detroit, MI by specialty
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; 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.