NPIMap

Organization Active NPI

Services to Enhance Potential

  • Case Management Agency
  • Detroit, MI
National Provider Identifier
1962884080
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SERVICES TO ENHANCE POTENTIAL
Practice address
4700 Beaufait St
Detroit, MI 48207-1372
Phone
(313) 267-9777
Fax
(313) 921-9131
NPI assigned
Jun 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2015

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

Authorized official

Name
Mrs. Tamaria Lashawn White
Title
Resource Center Director
Phone
(313) 267-9777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X MI Primary

Addresses

Primary practice location

4700 Beaufait St
Detroit, MI 48207-1372

Mailing address

4700 Beaufait St
Detroit, MI 48207-1372
Phone (313) 267-9777

National Provider Directory

National Provider Directory
Tax ID family
Services to Enhance Potential2 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.

Locations

4700 Beaufait St
Detroit, MI 48207
Phone (313) 267-9777

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435190400000",
    "number": "1962884080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 BEAUFAIT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482071372",
            "telephone_number": "313-267-9777",
            "fax_number": "313-921-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 BEAUFAIT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482071372",
            "telephone_number": "313-267-9777",
            "fax_number": "313-921-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICES TO ENHANCE POTENTIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-25",
        "last_updated": "2015-06-25",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "TAMARIA",
        "authorized_official_middle_name": "LASHAWN",
        "authorized_official_title_or_position": "RESOURCE CENTER DIRECTOR",
        "authorized_official_telephone_number": "313-267-9777",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "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 Jun 25, 2015; 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.