=====================================================
General NPI Number Information
=====================================================
NPI Number | 1619034816
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HEALTH MANAGEMENT SYSTEMS OF AMERICA INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/03/2007
-----------------------------------------------------
Last Update Date | 08/27/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 601 WASHINGTON BLVD
-----------------------------------------------------
City | DETROIT
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48226-3130
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 313-964-3100
-----------------------------------------------------
Fax | 313-964-3161
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 601 WASHINGTON BLVD
-----------------------------------------------------
City | DETROIT
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48226-3130
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 313-964-3100
-----------------------------------------------------
Fax | 313-964-3161
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. DENNIS G. RICE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 313-964-3100
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------