Organization Active NPI

Commerce Comfort Care

  • Assisted Living Facility
  • Walled Lake, MI
National Provider Identifier
1215691027
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
COMMERCE COMFORT CARE
Practice address
100 Decker Rd
Walled Lake, MI 48390-3625
Phone
(248) 896-1400
NPI assigned
Oct 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Authorized official

Name
Mr. Douglas Boehm
Title
Executive Directro
Phone
(248) 930-7875

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

100 Decker Rd
Walled Lake, MI 48390-3625

Mailing address

100 Decker Rd
Walled Lake, MI 48390-3625

National Provider Directory

National Provider Directory

Locations

100 Decker Rd
Walled Lake, MI 48390
Phone (248) 896-1400

NPI Registry JSON

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1215691027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DECKER RD",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DECKER RD",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903625",
            "telephone_number": "248-896-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMERCE COMFORT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "BOEHM",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTRO",
        "authorized_official_telephone_number": "248-930-7875",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walled Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.