Active NPI
In Honor of Brenda Denise Parks the Hug Foundation
- Voluntary or Charitable Agency
- Southfield, MI
National Provider Identifier
1881461481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- Legal business name
- IN HONOR OF BRENDA DENISE PARKS THE HUG FOUNDATION
- Practice address
- 17376 W 12 Mile Rd Ste 202
Southfield, MI 48076-6303 - Phone
- (248) 845-0276
- NPI assigned
- Dec 5, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deondra Shalan Parks
- Title
- Owner
- Phone
- (248) 845-0276
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Voluntary or Charitable Agency | 251V00000X | Primary |
Addresses
Primary practice location
17376 W 12 Mile Rd Ste 202
Southfield, MI 48076-6303
Mailing address
PO Box 48396
Oak Park, MI 48237-5996
Phone (248) 845-0276
Other names 1
- The HUG Foundation
National Provider Directory
National Provider DirectoryLocations
17376 W 12 Mile Rd
Ste 202
Southfield, MI 48076
Phone (248) 845-0276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701734400000",
"number": "1881461481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 48396",
"city": "OAK PARK",
"state": "MI",
"postal_code": "482375996",
"telephone_number": "248-845-0276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17376 W 12 MILE RD STE 202",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480766303",
"telephone_number": "248-845-0276"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IN HONOR OF BRENDA DENISE PARKS THE HUG FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-05",
"last_updated": "2023-12-05",
"certification_date": "2023-12-05",
"status": "A",
"authorized_official_last_name": "PARKS",
"authorized_official_first_name": "DEONDRA",
"authorized_official_middle_name": "SHALAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-845-0276"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The HUG Foundation",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.