Northend Village Non-Profit

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

NORTHEND VILLAGE NON-PROFIT

Practice address

8904 Woodward Ave
Detroit, MI 48202-1821

Phone

(313) 363-7018

Fax

(248) 608-8592

NPI assigned

Oct 16, 2019

Organization subpart

No

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

Authorized official

Name

Betty Mackie

Title

Member

Phone

(313) 363-7018

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

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.

• Natalie Woods, CNM

  • Advanced Practice Midwife
  • Detroit, MI
  • NPI 1669832481
  Medicare reassignment NPD
• Christal Eason, LMSW, CAAC

  • Clinical Social Worker
  • Southfield, MI
  • NPI 1790924470
  Medicare reassignment
• Shawn Smith

  • Driver
  • Detroit, MI
  • NPI 1093137218
  NPD

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1861034225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22745 CAMBRIDGE AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482191725",
            "telephone_number": "313-363-7018",
            "fax_number": "248-608-8592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8904 WOODWARD AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482021821",
            "telephone_number": "313-363-7018",
            "fax_number": "248-608-8592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEND VILLAGE NON-PROFIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-16",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "MACKIE",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "313-363-7018"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northeast Guidance Center
• Northeast Guidance Center
• Northeast Guidance Center
• Northeast Guidance Center
• Northeast Guidance Center
• Natash Nacreah Northern, R.N
• Kimberly Northington
• Northrop Loving Care
• Barbara Ann Northrup, LMSW
• Northside Medical Clinic Management Company

• Multi-Specialty Clinic/Center in Detroit, MI
• Providers in Detroit, MI by specialty
• Multi-Specialty Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.