Organization Active NPI

Perpetual Bliss Mihp LLC

  • Public Health or Welfare Agency
  • Redford, MI
National Provider Identifier
1093133720
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
E39986 Issued in MI
Legal business name
PERPETUAL BLISS MIHP LLC
Practice address
25321 5 Mile Rd
Suite 8
Redford, MI 48239-3700
Phone
(248) 722-4860
NPI assigned
Mar 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Authorized official

Name
Maria Diana R Reboya, RD
Title
Ceo
Phone
(248) 722-4860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X E39986 MI Primary

Addresses

Primary practice location

25321 5 Mile Rd
Suite 8
Redford, MI 48239-3700

Mailing address

28720 Bayberry CT W
Livonia, MI 48154-3867

National Provider Directory

National Provider Directory

Locations

25321 5 Mile Rd
Ste 8
Redford, MI 48239
Phone (248) 722-4860

NPI Registry JSON

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402444800000",
    "number": "1093133720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28720 BAYBERRY CT W",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25321 5 MILE RD",
            "address_2": "SUITE 8",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482393700",
            "telephone_number": "248-722-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERPETUAL BLISS MIHP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-31",
        "last_updated": "2014-06-11",
        "status": "A",
        "authorized_official_last_name": "REBOYA",
        "authorized_official_first_name": "MARIA DIANA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-722-4860",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MI",
            "license": "E39986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.