Servants Heart Health LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SERVANTS HEART HEALTH LLC

Practice address

25552 Shiawassee Rd Apt 521
Southfield, MI 48033-3708

Phone

(623) 277-7828

NPI assigned

Dec 16, 2024

Organization subpart

No

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

Authorized official

Name

Paula L Hester

Title

Healthcare Director

Phone

(623) 277-7828

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1114734779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25552 SHIAWASSEE RD APT 521",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333708",
            "telephone_number": "623-277-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25552 SHIAWASSEE RD APT 521",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333708",
            "telephone_number": "623-277-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVANTS HEART HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "HESTER",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "HEALTHCARE DIRECTOR",
        "authorized_official_telephone_number": "623-277-7828"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.