JUDAH GO GLOBAL FOUNDATION, LLC – NPI #1649899485
Clinic/Center

JUDAH GO GLOBAL FOUNDATION, LLC is an AHC clinic located in HIGHLAND PARK, MI. NPPES has assigned the NPI number 1649899485 to JUDAH GO GLOBAL FOUNDATION, LLC on April 12, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC) Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 4 years ago on Apr 11, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JUDAH GO GLOBAL FOUNDATION, LLC below.

NPI Profile for
JUDAH GO GLOBAL FOUNDATION, LLC

NPI Number
1649899485
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JUDAH GO GLOBAL FOUNDATION, LLC
Primary location
33 LABELLE ST APT 610
HIGHLAND PARK, MI 48203-3687
Phone: (615) 510-4160 Fax:
Mailing address
4206 PACKARD ST APT 2
ANN ARBOR, MI 48108-1525
Phone: (888) 958-5640 Fax:
Organization Subpart
No
Authorized Official
TAMARA SANDERFIELD
CHIEF EXECUTIVE OFFICER
Phone: (734) 510-9972
Updated
Certification Date
Apr 11, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
3418M1110X
- Military/U.S. Coast Guard Transport / Military or U.S. Coast Guard Ambulance, Ground Transport
282NR1301X
- General Acute Care Hospital / Rural
261QP2300X
- Clinic/Center / Primary Care
261QM0850X
- Clinic/Center / Adult Mental Health
261QH0100X
- Clinic/Center / Health Service
261QE0002X
- Clinic/Center / Emergency Care
261QC1500X
- Clinic/Center / Community Health
261Q00000X
- Clinic/Center
253Z00000X
- In Home Supportive Care
251S00000X
- Community/Behavioral Health
251K00000X
- Public Health or Welfare
251G00000X
- Hospice Care, Community Based
251B00000X
- Case Management

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.