NPIMap

Organization Active NPI

Todd-Phillips Children'S Home

  • Substance Abuse Rehabilitation Facility
  • Detroit, MI
National Provider Identifier
1982859849
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
823045 Issued in MI
Legal business name
TODD-PHILLIPS CHILDREN'S HOME
Practice address
1151 Taylor St Unit 3A4A
Detroit, MI 48202-1732
Phone
(313) 556-8030
Fax
(313) 556-8036
NPI assigned
Nov 19, 2008
Organization subpart
Yes
Parent organization
TODD-PHILLIPS CHILDREN'S HOMEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 19, 2008

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

Authorized official

Name
Ms. Zelda Ree Williams
Title
Executive Director
Phone
(313) 556-8030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 823045 MI Primary

Addresses

Primary practice location

1151 Taylor St Unit 3A4A
Detroit, MI 48202-1732

Mailing address

1151 Taylor St Unit 3A4A
Detroit, MI 48202-1732
Phone (313) 556-8030

Other identifiers 1

IdentifierTypeStateIssuer
801-098 (CID)MedicaidMI

National Provider Directory

National Provider Directory
Tax ID family
Todd-Phillips Children'S Home2 organizations share this tax ID, including this one
Part of
Todd-Phillips Children'S Home

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1151 Taylor St
Unit 3A4A
Detroit, MI 48202
Phone (313) 556-8030

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1982859849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 TAYLOR ST UNIT 3A4A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482021732",
            "telephone_number": "313-556-8030",
            "fax_number": "313-556-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 TAYLOR ST UNIT 3A4A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482021732",
            "telephone_number": "313-556-8030",
            "fax_number": "313-556-8036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD-PHILLIPS CHILDREN'S HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TODD-PHILLIPS CHILDREN'S HOME",
        "enumeration_date": "2008-11-19",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ZELDA",
        "authorized_official_middle_name": "REE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "313-556-8030",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MI",
            "license": "823045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "801-098 (CID)",
            "state": "MI"
        }
    ],
    "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 Nov 19, 2008; 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.