Active NPI
Adult Well-Being Services
- Registered Dietitian
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- ADULT WELL-BEING SERVICES
- Practice address
- 1423 Field St
Detroit, MI 48214-2321 - Phone
- (313) 825-2410
- Fax
- (313) 924-0350
- NPI assigned
- Jul 31, 2015
- Last updated
- Jul 21, 2022
- Organization subpart
- Yes
- Parent organization
- ADULT WELL-BEING SERVICES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Dawn Rucker, L.M.S.W.
- Title
- Intrim President & Ceo
- Phone
- (313) 825-2410
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | MI | Primary |
Addresses
Primary practice location
1423 Field St
Detroit, MI 48214-2321
Mailing address
1423 Field St
Detroit, MI 48214-2321
Phone (313) 825-2410
National Provider Directory
National Provider Directory- Tax ID family
- Adult Well Being Services
- Part of
- Adult Well Being Services
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Detroit, MI
- NPI 1891080396
-
- Case Management Agency
- Detroit, MI
- NPI 1023266947
-
- Community/Behavioral Health Agency
- Romulus, MI
- NPI 1588970180
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Case Manager/Care Coordinator
- Detroit, MI
- NPI 1922255355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1902282015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1423 FIELD ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482142321",
"telephone_number": "313-825-2410",
"fax_number": "313-924-0350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1423 FIELD ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482142321",
"telephone_number": "313-825-2410",
"fax_number": "313-924-0350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADULT WELL-BEING SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ADULT WELL-BEING SERVICES",
"enumeration_date": "2015-07-31",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "RUCKER",
"authorized_official_first_name": "DAWN",
"authorized_official_title_or_position": "INTRIM PRESIDENT & CEO",
"authorized_official_telephone_number": "313-825-2410",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "L.M.S.W."
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.