Active NPI
Partners in Wellness Management, LLC
- Home Health Agency
- Detroit, MI
National Provider Identifier
1013479617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.