Genesis House Three

LBN: Detroit Rescue Mission Ministries
Genesis House Three is an health care organization with primary practice located at 3840 Fairview St , Detroit MI 48214-1608. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Detroit Rescue Mission Ministries can be contacted via phone (313) 331-8990, or through Audi, Chad via phone (313) 993-4700.

Contact Information

Primary practice address
3840 Fairview St Detroit MI 48214-1608
Phone: (313) 331-8990
Fax: (313) 331-6375
Website:
Map and Directions
Authorized official contact:
Name: Audi, Chad
Phone: (313) 993-4700

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 821050 Michigan

Profile Details

NPI number 1063545556
LBN Legal business name Detroit Rescue Mission Ministries
DBA Doing business as Genesis House Three
Authorized official Audi, Chad
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063545556 NPPES
Michigan MEDICAID 3022440

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