Active NPI
Perpetual Bliss Mihp LLC
- Public Health or Welfare Agency
- Redford, MI
National Provider Identifier
1093133720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- License
- E39986
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.