OrganizationActive
Children'S Ambulatory Services, LLC
NPI 1033253794 · Student Health Clinic/Center · Detroit, MI
Provider details
- NPI number
- 1033253794
- Entity type
- Organization
- Primary specialty
- Student Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Joseph Scallen, Vp Finance(313) 745-0633
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
21431 Grand River Ave
Detroit, MI 48219-3801
Phone: (313) 745-0633
Fax: (313) 745-0633
Street-level locationGet directions
Mailing address
3901 Beaubien St
Detroit, MI 48201-2119
Registry dates
- Enumerated
- 2007-02-16
- 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.