Organization Active NPI

Partners in Wellness Management, LLC

  • Home Health Agency
  • Detroit, MI
National Provider Identifier
1013479617
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PARTNERS IN WELLNESS MANAGEMENT, LLC
Practice address
2470 Collingwood St RM 327
Detroit, MI 48206-1500
Phone
(313) 914-2296
Fax
(313) 436-4152
NPI assigned
Apr 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Authorized official

Name
Dr. Cleamon Moorer Jr., DBA
Title
President
Phone
(313) 740-9716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2470 Collingwood St RM 327
Detroit, MI 48206-1500

Mailing address

2470 Collingwood St RM 327
Detroit, MI 48206-1500
Phone (313) 914-2296

National Provider Directory

National Provider Directory

Locations

2470 Collingwood St
Rm 327
Detroit, MI 48206
Phone (313) 914-2296

12745 S Saginaw St
Ste 806276
Grand Blanc, MI 48439

NPI Registry JSON

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1013479617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 COLLINGWOOD ST RM 327",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482061500",
            "telephone_number": "313-914-2296",
            "fax_number": "313-436-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 COLLINGWOOD ST RM 327",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482061500",
            "telephone_number": "313-914-2296",
            "fax_number": "313-436-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS IN WELLNESS MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-02",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "MOORER",
        "authorized_official_first_name": "CLEAMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-740-9716",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; 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.