Organization Active NPI

Heart2Heart Adult Day Center, LLC

  • Clinical Social Worker
  • Southfield, MI
National Provider Identifier
1831609155
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HEART2HEART ADULT DAY CENTER, LLC
Practice address
23999 W 10 Mile Rd Ste 110
Southfield, MI 48033-3158
Phone
(313) 969-6682
NPI assigned
Oct 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2017

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

Authorized official

Name
Maurice Latham
Title
President
Phone
(313) 969-6682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

23999 W 10 Mile Rd Ste 110
Southfield, MI 48033-3158

Mailing address

PO Box 5112
Warren, MI 48090-5112
Phone (313) 969-6682

National Provider Directory

National Provider Directory

Locations

29277 Southfield Rd
Ste C
Southfield, MI 48076
Phone (248) 996-8258

23999 W 10 Mile Rd
Ste 110
Southfield, MI 48033
Phone (248) 996-8258

NPI Registry JSON

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508284800000",
    "number": "1831609155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5112",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480905112",
            "telephone_number": "313-969-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23999 W 10 MILE RD STE 110",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333158",
            "telephone_number": "313-969-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART2HEART ADULT DAY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2017-10-18",
        "status": "A",
        "authorized_official_last_name": "LATHAM",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-969-6682"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.