Madame Paulettes Regal Services

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Legal business name

MADAME PAULETTES REGAL SERVICES

Doing business as

Madame Paulette's Regal Services LLC Home Health Care Providers

Practice address

12630 Kelly Rd
Detroit, MI 48224-1502

Phone

(313) 854-8655

NPI assigned

Jun 5, 2019

Last updated

Jul 3, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

MADAME PAULETTE'S REGAL SERVICES LLC.As reported in NPPES

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

Authorized official

Name

Paulette McClain

Title

Director of Operation Manager

Phone

(313) 854-8655

Specialties & licenses 8

Addresses

Other names 1

• Madame Paulette's Regal Services LLC Home Health Care Providers Doing business as

Part of

Madame Paulettes Regal Services

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1215595061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12630 KELLY RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482241502",
            "telephone_number": "313-854-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12630 KELLY RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482241502",
            "telephone_number": "313-854-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADAME PAULETTES REGAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MADAME PAULETTE'S REGAL SERVICES LLC.",
        "enumeration_date": "2019-06-05",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A",
        "authorized_official_last_name": "MCCLAIN",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATION MANAGER",
        "authorized_official_telephone_number": "313-854-8655"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madame Paulette's Regal Services LLC Home Health Care Providers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa M. Maclean, M.D.
• Tiyanna Macnear
• Venus Macon-Dickerson, CADC-M
• James Macon, BCBA
• Kristopher Macwilliams, MD
• Shashi K Madan, MD
• Mayura S Madani, MD
• Piyush Madani
• Sanjana Madarapu, DDS
• Blake Andrew Maddalena, DDS

• Behavior Technician in Detroit, MI
• Providers in Detroit, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.