=====================================================
General NPI Number Information
=====================================================
NPI Number | 1568275576
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TANSY AI, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/31/2025
-----------------------------------------------------
Last Update Date | 06/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1420 WASHINGTON BLVD STE 301
-----------------------------------------------------
City | DETROIT
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48226-1750
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 313-312-0543
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1420 WASHINGTON BLVD STE 301
-----------------------------------------------------
City | DETROIT
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48226-1750
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 313-313-0543
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | FOUNDER & CEO
-----------------------------------------------------
Name | SERGIO RODRIGUEZ-VALENZUELA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 313-377-8577
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251B00000X
-----------------------------------------------------
Taxonomy Name | Case Management Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------