NPIMap

Organization Active NPI

Broadens Helping Hands

  • Community Health Worker
  • Dearborn, MI
National Provider Identifier
1871881268
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
BROADENS HELPING HANDS
Practice address
2236 Hubbell St
Dearborn, MI 48128-1395
Phone
(313) 421-9901
Fax
(313) 383-3689
NPI assigned
Jul 19, 2011
Last updated
Jul 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

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

Authorized official

Name
Mrs. Deidra Joyce Broaden
Title
Owner
Phone
(313) 421-9901

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MI
Addiction (Substance Use Disorder) Counselor 101YA0400X MI
Professional Counselor 101YP2500X MI
Community Health Worker 172V00000X MI Primary
Case Manager/Care Coordinator 171M00000X MI

Addresses

Primary practice location

2236 Hubbell St
Dearborn, MI 48128-1395

Mailing address

PO Box 66
Dearborn Heights, MI 48127-0066
Phone (313) 421-9901

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1871881268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481270066",
            "telephone_number": "313-421-9901",
            "fax_number": "313-383-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2236 HUBBELL ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281395",
            "telephone_number": "313-421-9901",
            "fax_number": "313-383-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADENS HELPING HANDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-19",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "BROADEN",
        "authorized_official_first_name": "DEIDRA",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-421-9901",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; 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.