NPIMap

Organization Active NPI

Health Emergency Assistance of Detroit

Doing business as Corktown Health

  • Multi-Specialty Clinic/Center
  • Detroit, MI
National Provider Identifier
1841511706
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
HEALTH EMERGENCY ASSISTANCE OF DETROIT
Doing business as
Corktown Health
Health Emergency Lifeline Programs
Practice address
1726 Howard St
Detroit, MI 48216-1921
Phone
(313) 832-3300
Fax
(313) 832-3393
NPI assigned
Jun 15, 2010
Last updated
Feb 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Authorized official

Name
Teresa Roscoe
Title
Coo
Phone
(313) 832-3300

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary
Clinical Social Worker 1041C0700X NU
Family Medicine Physician 207Q00000X NU

Addresses

Primary practice location

1726 Howard St
Detroit, MI 48216-1921

Mailing address

1726 Howard St
Detroit, MI 48216-1921

Other practice location 1

24310 John R Rd
Hazel Park, MI 48030-1112
Phone (313) 832-3393

Other names 2

  • Corktown Health Doing business as
  • Health Emergency Lifeline Programs Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130702000065 MI Part B Supplier - Clinic/Group Practice 0446490015 Receives reassigned benefits from 12 practitioners
Practice locations: Detroit, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2106078Health Emergency Lifeline Programs1726 Howard Street, Detroit, MI 48216Certificate of waiverDec 9, 2027

National Provider Directory

National Provider Directory

Locations

1726 Howard St
Detroit, MI 48216
Phone (313) 338-3740

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771372800000",
    "number": "1841511706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 HOWARD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482161921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 HOWARD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482161921",
            "telephone_number": "313-832-3300",
            "fax_number": "313-832-3393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24310 John R Rd",
            "address_purpose": "LOCATION",
            "city": "Hazel Park",
            "state": "MI",
            "postal_code": "480301112",
            "country_code": "US",
            "telephone_number": "313-832-3393",
            "fax_number": "313-818-3130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALTH EMERGENCY ASSISTANCE OF DETROIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-15",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A",
        "authorized_official_last_name": "ROSCOE",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "313-832-3300"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corktown Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Health Emergency Lifeline Programs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Health Emergency Lifeline Programs",
            "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 Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.