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1891825808

NPI Code Detail

MEDICARE: NEIGHBORHOOD SERVICE ORGANIZATION

MEDICARE: NEIGHBORHOOD SERVICE ORGANIZATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency		MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	0P03970	OTHER	MI	MEDICARE PIN NUMBER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	600501	OTHER	MI	CONSUMERLINK PROVIDER NUM
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	053720	OTHER	MI	CARELINK PROVIDER NUMBER
15	13493	OTHER	MI	DETROIT WAYNE ID NUMBER
16	669973	OTHER	MI	CONSUMERLINK PROVIDER NUM
17	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
18	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891825808
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEIGHBORHOOD SERVICE ORGANIZATION

Provider Business Mailing Address
First Line	:	882 OAKMAN BLVD
Second Line	:	STE. C
City	:	DETROIT
State	:	MI
Zip	:	48238-3710
Country	:	US
Telephone Number	:	313-961-4890
Fax Number	:	313-867-3675

Provider Business Practice Location Address
First Line	:	882 OAKMAN BLVD
Second Line	:	STE. C
City	:	DETROIT
State	:	MI
Zip	:	48238-3710
Country	:	US
Telephone Number	:	313-961-4890
Fax Number	:	313-867-3675

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	LINDA JOYCE LITTLE
Credential	:
Telephone Number	:	313-961-4890

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	04/15/2020

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Practice Fax:

1821088717 — DR. JOHN MICHAEL SCZOMAK PHD
Practice Location Address:

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1033109244 — COMMUNITY HEALTH AND SOCIAL SERVICES CENTER, INC
Practice Location Address:

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Directions to “NEIGHBORHOOD SERVICE ORGANIZATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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