Trombly Manor

Primary specialty

SpecialistTaxonomy code 174400000X

License

AM82000989 Issued in MI

Legal business name

TROMBLY MANOR

Practice address

15040 Harper Ave
Detroit, MI 48224-2962

Phone

(313) 839-8728

Fax

(313) 839-4099

NPI assigned

Oct 14, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Waldine Bates

Title

Home Manager

Phone

(313) 839-8728

Specialties & licenses 1

Addresses

Other names 1

• Effort Inc. Other name

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144310426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15040 HARPER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482242962",
            "telephone_number": "313-839-8728",
            "fax_number": "313-839-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15040 HARPER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482242962",
            "telephone_number": "313-839-8728",
            "fax_number": "313-839-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROMBLY MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "WALDINE",
        "authorized_official_title_or_position": "HOME MANAGER",
        "authorized_official_telephone_number": "313-839-8728"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "AM82000989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Effort Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Trisource Group Inc
• Kirtikumar M Trivedi, HT
• Peter Sciarretta Troccoli, DPM
• Suzanne Trojanowski
• Geralyn J Trombley
• Robert Matthew Trombly, DDS
• Trond U. Hegle DDS PC
• Nicole Lauren Tront, RN
• Avril Troope
• Stuart Daryl Trosch

• Specialist in Detroit, MI
• Providers in Detroit, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.