Provider Demographics
NPI:1508463126
Name:THAAR CARE FOUNDATION, INC
Entity Type:Organization
Organization Name:THAAR CARE FOUNDATION, INC
Other - Org Name:THAAR CARE FOUNDATION, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:THAAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-277-5353
Mailing Address - Street 1:2820 W MAPLE RD
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-7011
Mailing Address - Country:US
Mailing Address - Phone:248-277-5353
Mailing Address - Fax:
Practice Address - Street 1:2820 W MAPLE RD STE 128
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-7047
Practice Address - Country:US
Practice Address - Phone:248-277-5353
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-06
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health