Active NPI
Blessed MC, LLC.
- General Practice Physician
- Livonia, MI
National Provider Identifier
1023216165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- BLESSED MC, LLC.
- Practice address
- 34441 8 Mile Rd
Ste 104
Livonia, MI 48152-4013 - Phone
- (313) 772-0406
- NPI assigned
- Jul 10, 2007
- 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
- Mr. Juan Esteban Villa
- Title
- President
- Phone
- (313) 772-0406
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
34441 8 Mile Rd
Ste 104
Livonia, MI 48152-4013
Mailing address
34441 8 Mile Rd
Ste 104
Livonia, MI 48152-4013
Phone (313) 772-0406
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1185235200000",
"number": "1023216165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34441 8 MILE RD",
"address_2": "STE 104",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481524013",
"telephone_number": "313-772-0406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34441 8 MILE RD",
"address_2": "STE 104",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481524013",
"telephone_number": "313-772-0406"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLESSED MC, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-10",
"last_updated": "2007-07-24",
"status": "A",
"authorized_official_last_name": "VILLA",
"authorized_official_first_name": "JUAN",
"authorized_official_middle_name": "ESTEBAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "313-772-0406",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.