Organization Active NPI

Personalized Assistance Living Services

  • In Home Supportive Care Agency
  • Ann Arbor, MI
National Provider Identifier
1215172440
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PERSONALIZED ASSISTANCE LIVING SERVICES
Practice address
3924 Trade Center Dr
Ann Arbor, MI 48108-2072
Phone
(734) 975-0610
Fax
(734) 975-0610
NPI assigned
Dec 2, 2008
Last updated
Dec 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

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

Authorized official

Name
Mrs. Penny Arline Dombrowski, B.S.
Title
Exe. Director
Phone
(734) 975-0610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

3924 Trade Center Dr
Ann Arbor, MI 48108-2072

Mailing address

3924 Trade Center Dr
Ann Arbor, MI 48108-2072
Phone (734) 975-0610

National Provider Directory

National Provider Directory

Locations

3924 Trade Center Dr
Ann Arbor, MI 48108
Phone (734) 975-0610

NPI Registry JSON

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228176000000",
    "number": "1215172440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3924 TRADE CENTER DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082072",
            "telephone_number": "734-975-0610",
            "fax_number": "734-975-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3924 TRADE CENTER DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082072",
            "telephone_number": "734-975-0610",
            "fax_number": "734-975-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED ASSISTANCE LIVING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-02",
        "last_updated": "2008-12-02",
        "status": "A",
        "authorized_official_last_name": "DOMBROWSKI",
        "authorized_official_first_name": "PENNY",
        "authorized_official_middle_name": "ARLINE",
        "authorized_official_title_or_position": "EXE. DIRECTOR",
        "authorized_official_telephone_number": "734-975-0610",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.