NPIMap

Organization Active NPI

Procare Rehabilitation Inc

  • Clinical Social Worker
  • Detroit, MI
National Provider Identifier
1164675658
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801081705 Issued in MI
Legal business name
PROCARE REHABILITATION INC
Practice address
2641 W Grand Blvd
Suite 101
Detroit, MI 48208-1234
Phone
(313) 972-5660
NPI assigned
Oct 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Corine V. Mayfield
Title
Owner
Phone
(313) 972-5660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 6801081705 MI Primary

Addresses

Primary practice location

2641 W Grand Blvd
Suite 101
Detroit, MI 48208-1234

Mailing address

2641 W Grand Blvd
Suite 101
Detroit, MI 48208-1234
Phone (313) 972-5660

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1164675658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2641 W GRAND BLVD",
            "address_2": "SUITE 101",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482081234",
            "telephone_number": "313-972-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 W GRAND BLVD",
            "address_2": "SUITE 101",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482081234",
            "telephone_number": "313-972-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "MAYFIELD",
        "authorized_official_first_name": "CORINE",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-972-5660"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801081705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.