SERVANTS HEART MOBILE MEDICAL CLINIC
NPI 1669293874
Clinic/Center - Medical Specialty in Detroit, MI

NPI Status: Active since October 21, 2024

Contact Information

15012 PENROD ST
DETROIT, MI
ZIP 48223
Phone: (623) 277-7828

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  • Organization
  • Clinic/Center
  • Medical Specialty

About SERVANTS HEART MOBILE MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for Servants Heart Mobile Medical Clinic, a provider established in Detroit, Michigan operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1669293874 assigned on October 2024. The practitioner's primary taxonomy code is 261QM2500X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Paula Lorraine Hester (Ceo/healthcare Director)

NPI
1669293874
Provider Name
SERVANTS HEART MOBILE MEDICAL CLINIC
Entity Type
Organization
Location Address
15012 PENROD ST DETROIT, MI 48223
Location Phone
(623) 277-7828
Mailing Address
25552 SHIAWASSEE RD APT 521 SOUTHFIELD, MI 48033
Mailing Phone
(623) 277-7828
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-21-2024
Last Update Date
10-21-2024
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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

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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

PAULA LORRAINE HESTER

Authorized Official Title
CEO/HEALTHCARE DIRECTOR
Authorized Official Phone
(623) 277-7828

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1669293874
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26129496814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 2 + 9 + 4 + 9 + 6 + 8 + 1 + 4 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1669293874 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

ST CHRISTOPHERS PRIVATE HOME HEALTHCARE AGENCY OF MICHIGAN

Home Health

15012 PENROD ST
DETROIT, MI
ZIP 48223

(623) 277-7828

ST CHRISTOPHERS PALLIATIVE & HOSPICE CARE OF MICHIGAN

Hospice, Inpatient

15012 PENROD ST
DETROIT, MI
ZIP 48223

(623) 277-7828

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669293874, enumerated as an "organization" on October 21, 2024.

The provider is located at 15012 PENROD ST DETROIT, MI 48223 and the phone number is (623) 277-7828.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.