EXCELLENT DICIPLES OF SUCCESS OUTREACH CHURCH (NPI# 1841511789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841511789 |
| Entity Type | Organization |
| Organization Name | EXCELLENT DICIPLES OF SUCCESS OUTREACH CHURCH |
| Practice Address |
25226 Ingleside Dr Southfield MI 48033-4837 |
| Practice Telephone | 3138681405 |
| Mailing Telephone | 3138681405 |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2010-06-15 |
| Authorized Official Name | MR. ISSAC E LEWIS (CEO) |
| Authorized Official Telephone | 3138681405 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | Agencies |
| Street Address |
25226 INGLESIDE DR |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48033-4837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
| 1154955292 | Judy C Staples | Registered Nurse | 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 | 2020-02-27 |
| 1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
| 1891228904 | Brandi Becker-wright | Social Worker | 25200 Telegraph Rd Ste 100, Southfield, MI 48033 | 2017-04-05 |
| 1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
| 1033534797 | Jessica Savageau | Social Worker | 22170 W 9 Mile, Southfield, MI 48033 | 2014-03-04 |
| Find all providers in zip 48033 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881938223 | On Call Nurses Staffing Agency | Voluntary or Charitable | 16400 N Park Dr Apt 316, Southfield, MI 48075-4726 | 2012-11-26 |
| 1407186083 | Greater Michigan Economic Development /center | Voluntary or Charitable | 15749 Hilton St, Southfield, MI 48075-6011 | 2010-01-05 |
| 1407082977 | New Foundation 180 Outreach Ministry | Voluntary or Charitable | 22319 La Seine St Apt 301, Southfield, MI 48075-4044 | 2009-06-10 |
| 1790086114 | Michigan Neuropsychological Society, Inc. | Voluntary or Charitable | 26555 Evergreen Rd, Suite # 826, Southfield, MI 48076-4206 | 2010-11-17 |
| 1164676383 | True Anointing Minstries | Voluntary or Charitable | 17336 W 12 Mile Rd, Ste 103, Southfield, MI 48076-2113 | 2008-11-14 |
| 1922251545 | Gracious Outreach Ministries | Voluntary or Charitable | 17336 W 12 Mile Rd, Southfield, MI 48076-2113 | 2008-10-28 |
| 1801097522 | Alzheimer's Disease and Related Disorders Association, Inc | Voluntary or Charitable | 25200 Telegraph Rd, Suite 100, Southfield, MI 48033-2543 | 2007-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144841222 | Universal Kidney Foundation | Voluntary or Charitable | 5054 W Bristol Rd Ste E, Flint, MI 48507-2952 | 2020-04-30 |
| 1972075273 | Still Standing Inc | Voluntary or Charitable | 7310 Woodward Ave Ste 445, Detroit, MI 48202-3168 | 2018-12-27 |
| 1588135750 | Tracy Jo Smith | Voluntary or Charitable | 4259 N Williamston Rd, Williamston, MI 48895-9175 | 2018-12-16 |
| 1376026088 | Wrip Resource Center | Voluntary or Charitable | 11000 W Mcnichols Rd Ste 312, Detroit, MI 48221-2393 | 2018-09-09 |
| 1821506072 | Fredericks Family Homes Afc Inc | Voluntary or Charitable | 14705 Allen Rd, Southgate, MI 48195-2552 | 2018-01-22 |
| 1578075156 | The Arc Grosse Pointe Harper Woods | Voluntary or Charitable | 20475 Sunningdale Park, Grosse Pointe Woods, MI 48236-1637 | 2017-11-03 |
| 1740736933 | Renewed Hope Health Clinic | Voluntary or Charitable | 894 Marshall St, Allegan, MI 49010-1637 | 2016-08-29 |
| 1053785337 | Ywca of Kalamazoo | Voluntary or Charitable | 353 E Michigan Ave, Kalamazoo, MI 49007-3832 | 2015-11-24 |
| 1720450141 | The Sharon Elaine Foundation | Voluntary or Charitable | 38150 Metro Villa Ct Unit 106k, Harrison Township, MI 48045-5381 | 2015-10-25 |
| 1932570595 | The Arc of Oakland County, Inc | Voluntary or Charitable | 1641 W Big Beaver Rd, Troy, MI 48084-3501 | 2015-10-08 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHFIELD |
| Zip Code | 48033 |
Please comment or provide details below to improve the information on EXCELLENT DICIPLES OF SUCCESS OUTREACH CHURCH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.