Melissa Suco

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

AS330397180 Issued in MI

Practice address

3680 Churchill Rd
Leslie, MI 49251-9550

Phone

(517) 589-9118

NPI assigned

May 27, 2024

Last updated

May 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1716768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716768000000",
    "number": "1134969447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603",
            "city": "LESLIE",
            "state": "MI",
            "postal_code": "492510603",
            "telephone_number": "517-589-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 CHURCHILL RD",
            "city": "LESLIE",
            "state": "MI",
            "postal_code": "492519550",
            "telephone_number": "517-589-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUCO",
        "first_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-27",
        "last_updated": "2024-05-27",
        "certification_date": "2024-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AS330397180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ranjith Samson, PT
• Teresa Schutte
• Stanley J Sczecienski, D.O.
• Marie Dawn Slisher, PA
• Desiree Lynette Smith, ATC
• Total Wellness Urgent Care PLLC
• Vredenburg-Leslie Dentistry PLC (Leslie Family Dentistry)
• W. a. Foote Memorial Hospital, Inc. (Henry Ford Allegiance Health)
• Samantha Lynn Wetoskey, NP-C
• Micah Wiegand

• Adult Care Home Facility in Leslie, MI
• Providers in Leslie, MI by specialty
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.