Organization Active NPI

Premier One Staffing

  • Pediatric Skilled Nursing Facility
  • Southfield, MI
National Provider Identifier
1013287242
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
License
3140N1450X Issued in MI
Legal business name
PREMIER ONE STAFFING
Practice address
21315 Constitution St
Southfield, MI 48076-5514
Phone
(248) 792-1252
Fax
(248) 945-1210
NPI assigned
Jan 4, 2012
Organization subpart
Yes
Parent organization
PREMIER ONE STAFFINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Rikki Lenee Atigarin, RN BSN
Title
Ceo
Phone
(248) 792-1252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X 3140N1450X MI Primary

Addresses

Primary practice location

21315 Constitution St
Southfield, MI 48076-5514

Mailing address

21315 Constitution St
Southfield, MI 48076-5514
Phone (248) 792-1252

Other names 1

  • Maternal Infant Health Program Doing business as

National Provider Directory

National Provider Directory
Part of
Premier One Staffing

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1013287242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21315 CONSTITUTION ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765514",
            "telephone_number": "248-792-1252",
            "fax_number": "248-945-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21315 CONSTITUTION ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765514",
            "telephone_number": "248-792-1252",
            "fax_number": "248-945-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ONE STAFFING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER ONE STAFFING",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "ATIGARIN",
        "authorized_official_first_name": "RIKKI",
        "authorized_official_middle_name": "LENEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-792-1252",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN BSN"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "MI",
            "license": "3140N1450X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maternal Infant Health Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.