Primal Healthcare Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PRIMAL HEALTHCARE SERVICES, LLC

Practice address

18530 Mack Ave # 454
Grosse Pointe Farms, MI 48236-3254

Phone

(313) 884-8440

NPI assigned

Oct 24, 2015

Organization subpart

No

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

Authorized official

Name

Lisa Morten

Title

Authorized Agent

Phone

(313) 355-2841

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1445644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1104298512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18530 MACK AVE # 454",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482363254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18530 MACK AVE # 454",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482363254",
            "telephone_number": "313-884-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMAL HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-24",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "MORTEN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "313-355-2841"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Grosse Pointe Farms, MI
• Providers in Grosse Pointe Farms, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.