NPIMap

Organization Active NPI

Self Help Addiction Rehabilitation (Shar)

  • Substance Abuse Rehabilitation Facility
  • Detroit, MI
National Provider Identifier
1851457451
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
820174 Issued in MI
Legal business name
SELF HELP ADDICTION REHABILITATION (SHAR)
Practice address
1852 W Grand Blvd
Detroit, MI 48208-1006
Phone
(313) 894-8444
Fax
(313) 894-2712
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Curtis Jennings
Title
Interim Ceo
Phone
(313) 894-2410

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 820174 MI Primary
Substance Abuse Rehabilitation Facility 324500000X 820704 MI

Addresses

Primary practice location

1852 W Grand Blvd
Detroit, MI 48208-1006

Mailing address

1852 W Grand Blvd
Detroit, MI 48208-1006
Phone (313) 894-8444

Other identifiers 2

IdentifierTypeStateIssuer
820174OtherMISUBSTANCE ABUSE PROGRAM
820704OtherMISUBSTANCE ABUSE PROGRAM

National Provider Directory

National Provider Directory
Tax ID family
Shar Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851457451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1852 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482081006",
            "telephone_number": "313-894-8444",
            "fax_number": "313-894-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1852 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482081006",
            "telephone_number": "313-894-8444",
            "fax_number": "313-894-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF HELP ADDICTION REHABILITATION (SHAR)",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_title_or_position": "INTERIM CEO",
        "authorized_official_telephone_number": "13138942410"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MI",
            "license": "820174",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MI",
            "license": "820704",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBSTANCE ABUSE PROGRAM",
            "identifier": "820174",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBSTANCE ABUSE PROGRAM",
            "identifier": "820704",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 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.