# COLLECTIVE HEALTH COALITION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760357768
- **Authorized official:** MS. SHAFONTA HAYDEN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (586) 980-0090

## Contact information

- **Practice address:** 19959 RIOPELLE ST, DETROIT, MI 48203-1249
- **Practice address phone:** (586) 980-0090
- **Practice address fax:** (586) 980-0090
- **Mailing address:** 14984 RIVER VIEW CT, STERLING HEIGHTS, MI 48313-5772
- **Mailing address phone:** (586) 980-0090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 172V00000X | Community Health Worker | — | NULL | — |
| 172V00000X | Community Health Worker | — | — | — |
| 174200000X | Meals Provider | — | NULL | — |
| 177F00000X | Lodging Provider | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251F00000X | Home Infusion Agency | — | NULL | — |
| 251G00000X | Community Based Hospice Care Agency | — | NULL | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | — |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 364SH0200X | Home Health Clinical Nurse Specialist | — | NULL | — |
| 364SH0200X | Home Health Clinical Nurse Specialist | — | — | — |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |

## Other

- **Enumeration date:** 10/08/2025
- **Last updated:** 12/16/2025