OrganizationActive
Healthsource Inc
NPI 1003026709 · Health Maintenance Organization · Detroit, MI
Provider details
- NPI number
- 1003026709
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Sabah Velasco, Manager of Claims and Technology(313) 966-8467
Specialties & taxonomies
Managed Care Organizations
Practice location
4707 Saint Antoine St
Suite G20
Detroit, MI 48201-1427
Phone: (800) 543-0161
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 44290
Detroit, MI 48244-0290
Registry dates
- Enumerated
- 2007-05-23
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.