NPIMap

Organization Active NPI

Emmanuel House

  • Mental Illness Community Based Residential Treatment Facility
  • Detroit, MI
National Provider Identifier
1932823150
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
EMMANUEL HOUSE
Practice address
14750 Saint Marys St
Detroit, MI 48227-1862
Phone
(313) 397-2372
NPI assigned
Sep 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Authorized official

Name
Timothy Arthur Thompson
Title
Director
Phone
(313) 397-2372

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

14750 Saint Marys St
Detroit, MI 48227-1862

Mailing address

14750 Saint Marys St
Detroit, MI 48227-1862
Phone (131) 339-7237

Other identifiers 1

IdentifierTypeStateIssuer
1083169502MedicaidMI

Other names 1

  • Emmanuel House Recovery Program Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL emmanuel@comcast.net Direct
CONNECT URL emmanuel@comcast.net Direct

National Provider Directory

National Provider Directory
Tax ID family
Emmanuel House3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1664496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664496000000",
    "number": "1932823150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14750 SAINT MARYS ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482271862",
            "telephone_number": "131-339-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14750 SAINT MARYS ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482271862",
            "telephone_number": "313-397-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANUEL HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-30",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "313-397-2372"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083169502",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "emmanuel@comcast.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14750 Saint Marys St",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482271862",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "emmanuel@comcast.net",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14750 Saint Marys St",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482271862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Emmanuel House Recovery Program",
            "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 Sep 30, 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.

Verify at the official NPI Registry.