STALLWORTH AFC
NPI 1609951599
Contractor in Detroit, MI

Active since October 26, 2006CLIA Certified · 2 labs
645 E GRAND BLVD, DETROIT, MI 48207(313) 319-5526(313) 823-8284 Get Directions Write a Review

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

About Stallworth Afc NPPES

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

STALLWORTH AFC (NPI 1609951599) is a healthcare organization registered as a contractor in Detroit, Michigan and active in the NPI registry since October 2006. The organization holds 2 active CLIA laboratory certificates and lists Gail Stallworth, Administrator, as its authorized official.

NPPES Registry Identity

NPI1609951599
Entity TypeOrganization
Primary Taxonomy171W00000X
Legal Business NameSTALLWORTH AFC #1 CORPORATION
Location Address645 E GRAND BLVDDetroit, MI 48207-3512
Mailing AddressP.o. Box 07250Detroit, MI 48207 · (313) 319-5526 · Fax (313) 823-8284
Fax(313) 823-8284
Organization SubpartNo
Authorized OfficialGail StallworthAdministrator · (313) 319-5526
Enumeration DateOctober 26, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1609951599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
Definition
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
645 E GRAND BLVD, Detroit, MI 48207

Other Names 1

Doing Business AsStallworth Afc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2212921

Stallworth AFC #1 Corporation · Detroit, MI
Active · expires Feb 8, 2027
CLIA Number23D2212921
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorGail Stallworth
Laboratory Phone(313) 319-5526
Laboratory LocationStallworth AFC #1 Corporation645 E Grand Blvd, Detroit, MI 48207
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 23D2212918

Stallworth AFC #1 Corporation · Detroit, MI
Active · expires Feb 8, 2027
CLIA Number23D2212918
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorGail Stallworth
Laboratory Phone(313) 319-5526
Laboratory LocationStallworth AFC #1 Corporation651 E Grand Blvd, Detroit, MI 48238
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Stallworth AFC #1 Corporation's NPI number?

The NPI number for Stallworth AFC #1 Corporation is 1609951599. It was assigned to this organization in the NPPES registry on October 26, 2006. The provider is doing business as Stallworth AFC.

Where is Stallworth AFC #1 Corporation located?

Stallworth AFC #1 Corporation is located at 645 E Grand Blvd, Detroit, MI 48207. The listed phone number is (313) 319-5526.

What is Stallworth AFC #1 Corporation's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

Does Stallworth AFC #1 Corporation hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Stallworth AFC #1 Corporation 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.