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GENESIS HOUSE THREE
NPI 1063545556
Substance Abuse Rehabilitation Facility in Detroit, MI

Active since March 13, 2007
3840 FAIRVIEW ST, DETROIT, MI 48214(313) 331-8990(313) 331-6375 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Genesis House Three NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENESIS HOUSE THREE (NPI 1063545556) is a healthcare organization registered as a substance abuse rehabilitation facility in Detroit, Michigan and active in the NPI registry since March 2007. The organization lists Chad Audi, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1063545556
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameDETROIT RESCUE MISSION MINISTRIES
Location Address3840 FAIRVIEW STDetroit, MI 48214-1608
Mailing Address150 Stimson StDetroit, MI 48201-2410 · (313) 993-4700 · Fax (313) 831-2299
Phone(313) 331-8990
Fax(313) 331-6375
Organization SubpartNo
Authorized OfficialChad AudiChief Executive Officer · (313) 993-4700
Enumeration DateMarch 13, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1063545556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in MI · 821050
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
3840 FAIRVIEW ST, Detroit, MI 48214
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Other Names 1

Doing Business AsGenesis House Three

Other Identifiers 1

Medicaid3022440MI

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. NIKKI R HALL-TERRY BS, CAC-1
Counselor (Addiction (Substance Use Disorder))
3840 FAIRVIEW ST
DETROIT, MI 48214
Wayne County (313) 331-8990
MRS. MARCIA PARTIN
Counselor (Addiction (Substance Use Disorder))
3840 FAIRVIEW ST
DETROIT, MI 48214
Wayne County (313) 331-8990
MS. MARGARET ANN BROWN CAC-M
Counselor
3840 FAIRVIEW ST
DETROIT, MI 48214
Wayne County (313) 331-8990
MRS. MARSHA M. JOHNSON CAC-1, LMSW
Counselor (Addiction (Substance Use Disorder))
3840 FAIRVIEW ST
DETROIT, MI 48214
Wayne County (313) 331-8890

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Detroit Rescue Mission Ministries's NPI number?

The NPI number for Detroit Rescue Mission Ministries is 1063545556. It was assigned to this organization in the NPPES registry on March 13, 2007. The provider is doing business as Genesis House Three.

Where is Detroit Rescue Mission Ministries located?

Detroit Rescue Mission Ministries is located at 3840 Fairview St, Detroit, MI 48214. The listed phone number is (313) 331-8990.

What is Detroit Rescue Mission Ministries's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Detroit Rescue Mission Ministries was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.