NPIMap

Organization Active NPI

Juda Transitional & Recovery House

  • Substance Abuse Rehabilitation Facility
  • Detroit, MI
National Provider Identifier
1912227075
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
823123 Issued in MI
Legal business name
JUDA TRANSITIONAL & RECOVERY HOUSE
Practice address
5579 Vancouver St
Detroit, MI 48204-3607
Phone
(313) 556-5533
Fax
(313) 556-5533
NPI assigned
Jun 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Authorized official

Name
Mr. Alonzo Johnson, MINISTER
Title
Director/Ceo
Phone
(313) 658-8925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 823123 MI Primary

Addresses

Primary practice location

5579 Vancouver St
Detroit, MI 48204-3607

Mailing address

5579 Vancouver St
Detroit, MI 48204-3607
Phone (313) 556-5533

Other names 1

  • Restoration Now Community Development Other name

National Provider Directory

National Provider Directory
Tax ID family
Juda Transitional Recovery House2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1912227075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5579 VANCOUVER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482043607",
            "telephone_number": "313-556-5533",
            "fax_number": "313-556-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5579 VANCOUVER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482043607",
            "telephone_number": "313-556-5533",
            "fax_number": "313-556-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDA TRANSITIONAL & RECOVERY HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ALONZO",
        "authorized_official_title_or_position": "DIRECTOR/CEO",
        "authorized_official_telephone_number": "313-658-8925",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MINISTER"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MI",
            "license": "823123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restoration Now Community Development",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 10, 2010; 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.