Organization
Y.A.D.
Active
Organization
Y.A.D.
Active
Parent organization
EMMANUEL HOUSE 1&2 INC.
Other names
Emmanuel House 1&2 Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
EMMANUEL HOUSE 1&2 INC.
Authorized official
MRS. BLANCHE RENEE FOSTER (EXECUTIVE DIRECTOR)
(313) 729-4547
Entity
Organization
Contact information
Practice address
18425 HICKORY ST, DETROIT, MI 48205-2707
(313) 729-4547
(313) 821-8683
Mailing address
PO BOX 13185, DETROIT, MI 48213-0185
(313) 729-4547
(313) 821-8683
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
261QA0600X
MI
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
261QR0405X
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2387424
—
MI
Enumeration date
02/17/2011
Last updated
02/17/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up