Our Wellness Hub

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

OUR WELLNESS HUB

Practice address

17401 E 10 Mile Rd
Eastpointe, MI 48021-1256

Phone

(866) 336-9355

NPI assigned

Mar 12, 2018

Organization subpart

No

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

Authorized official

Name

Latresha Patman

Title

Executive Director

Phone

(917) 288-4772

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520812800000",
    "number": "1013410596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17401 E 10 MILE RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480211256",
            "telephone_number": "866-336-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17401 E 10 MILE RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480211256",
            "telephone_number": "866-336-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR WELLNESS HUB",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-03-12",
        "status": "A",
        "authorized_official_last_name": "PATMAN",
        "authorized_official_first_name": "LATRESHA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "917-288-4772"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Open Door Family Center, LLC
• Open Door Living Association, Inc
• Open Door Living Services, LLC
• Optometry PC
• Our Parents Adult Day Treatment LLC
• Oxford Optical Co
• Navdeep Kaur Pabla, RN BSN MSN NP-C
• Pace Southeast Michigan
• Stephen James Palajac, DPM
• Katherine Anne Paquette, ACNP

• Community Health Clinic/Center in Eastpointe, MI
• Providers in Eastpointe, MI by specialty
• Community Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; 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.