ANDERSON HOUSE LLC
NPI 1619116779
Case Management in Detroit, MI

NPI Status: Active since February 13, 2009

Contact Information

16615 BLACKSTONE ST
DETROIT, MI
ZIP 48219
Phone: (313) 995-7425

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  • Organization
  • Case Management
  • CLIA Number: 23D2023174
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-14-2027

About ANDERSON HOUSE LLC

This page provides the complete NPI Profile along with additional information for Anderson House Llc, a provider established in Detroit, Michigan operating as a Case Management. The healthcare provider is registered in the NPI registry with number 1619116779 assigned on February 2009. The practitioner's primary taxonomy code is 251B00000X with license number 822780 (MI). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mr. Edward Manuel Anderson Jr. Cacm,cpcm,ncgcii (Ceo)

NPI
1619116779
Provider Name
ANDERSON HOUSE LLC
Entity Type
Organization
Location Address
16615 BLACKSTONE ST DETROIT, MI 48219
Location Phone
(313) 995-7425
Mailing Address
28366 FRANKLIN RIVER DR 106 SOUTHFIELD, MI 48034
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-13-2009
Last Update Date
02-13-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Case Management

Taxonomy Code
251B00000X
Type
Agencies
License No.
822780
License State
MI
Taxonomy Description
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. EDWARD MANUEL ANDERSON JR. CACM,CPCM,NCGCII

Authorized Official Title
CEO
Authorized Official Phone
(313) 205-0411

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D2023174
Facility Type
Physician Office
Certificate Effective Date
July 15, 2025
Certificate Expiration Date
July 14, 2027
Laboratory Director
DARREN A. LAWRENCE
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Anderson House Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1619116779, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
1
Doubled → 2
Pos 4
9
Unchanged
Pos 5
1
Doubled → 2
Pos 6
1
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 1 → 2 6 → 12 → 3 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 2 + 9 + 2 + 1 + 1 + 2 + 7 + 1 + 4 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1619116779.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619116779, enumerated as an "organization" on February 13, 2009.

The provider is located at 16615 BLACKSTONE ST DETROIT, MI 48219 and the phone number is (313) 995-7425.

Case Management with taxonomy code 251B00000X.