OrganizationActive
Goddess Great
NPI 1104435460 · Case Management Agency · Detroit, MI
Goddess Great is a Case Management Agency organization in Detroit, MI (NPI 1104435460).
Provider details
- NPI number
- 1104435460
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Kymaletha Brown, Coordinator(269) 414-5907
Specialties & taxonomies
Agencies
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
17169 E Warren Ave
Detroit, MI 48224-2279
Phone: (313) 856-9192
Street-level locationGet directions
Mailing address
10728 Duprey St
Detroit, MI 48224-1295
Registry dates
- Enumerated
- 2020-07-23
- Last updated
- 2022-01-20
- Certified
- 2022-01-20
Frequently asked questions
- What is Goddess Great's NPI number?
- Goddess Great's National Provider Identifier (NPI) is 1104435460, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Goddess Great?
- Goddess Great is classified in the NPPES registry as Case Management Agency (Agencies).
- Where is Goddess Great located?
- Goddess Great's practice location on file with NPPES is 17169 E Warren Ave, Detroit, MI 48224-2279.
- What is Goddess Great's phone number?
- The practice phone number listed in the NPPES registry for Goddess Great is (313) 856-9192.
- Who is the authorized official for Goddess Great?
- The authorized official listed on Goddess Great's NPPES record is Kymaletha Brown, Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Goddess Great's NPI active?
- Yes — Goddess Great's NPI (1104435460) is active in the NPPES registry as of the last update on 2022-01-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.