Active NPI
Tri County Rehabilitation, Inc.
- Rehabilitation Clinic/Center
- Garden City, MI
National Provider Identifier
1073670097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- TRI COUNTY REHABILITATION, INC.
- Practice address
- 29217 Ford Rd
Ste 105
Garden City, MI 48135-2889 - Phone
- (734) 427-8210
- Fax
- (734) 427-8209
- NPI assigned
- Jan 2, 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
- Daya Krishana
- Title
- Administrator
- Phone
- (734) 427-8210
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
29217 Ford Rd
Ste 105
Garden City, MI 48135-2889
Mailing address
29217 Ford Rd
Ste 105
Garden City, MI 48135-2889
Phone (734) 427-8210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30676 | Other | MI | BCBS |
National Provider Directory
National Provider DirectoryLocations
29217 Ford Rd
Ste 105
Garden City, MI 48135
Phone (734) 427-8210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1073670097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29217 FORD RD",
"address_2": "STE 105",
"city": "GARDEN CITY",
"state": "MI",
"postal_code": "481352889",
"telephone_number": "734-427-8210",
"fax_number": "734-427-8209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29217 FORD RD",
"address_2": "STE 105",
"city": "GARDEN CITY",
"state": "MI",
"postal_code": "481352889",
"telephone_number": "734-427-8210",
"fax_number": "734-427-8209"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI COUNTY REHABILITATION, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KRISHANA",
"authorized_official_first_name": "DAYA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "734-427-8210"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "30676",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.