Pauline'S Place LLC

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

Legal business name

PAULINE'S PLACE LLC

Practice address

20253 Saint Marys St
Detroit, MI 48235-2134

Phone

(313) 646-9762

Fax

(313) 646-9762

NPI assigned

Jun 5, 2024

Organization subpart

No

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

Authorized official

Name

Dena M Green

Title

Owner/Manager

Phone

(313) 646-9762

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1033950787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20253 SAINT MARYS ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352134",
            "telephone_number": "313-646-9762",
            "fax_number": "313-646-9762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20253 SAINT MARYS ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352134",
            "telephone_number": "313-646-9762",
            "fax_number": "313-646-9762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULINE'S PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "DENA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "313-646-9762"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula G Carson DDS PC
• Kathleen Ann Paulbeck, CPCC
• Muntaha Paules, RPH
• Fairrah Pauley
• Wendy Pauley, RN
• Joyal Dee Pavey, OTR
• Elektra Pavlicek, LPC
• Elizabeth Pavlik
• Plamen Milev Pavlov, NP
• Kathleen Marie Pawlik, CPNP

• Foster Care Agency in Detroit, MI
• Providers in Detroit, MI by specialty
• Foster Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.