NPIMap

Organization Active NPI

Health Full Elements

  • Contractor
  • Warren, MI
National Provider Identifier
1265818850
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
7501004559 Issued in MI
Legal business name
HEALTH FULL ELEMENTS
Practice address
11443 E 13 Mile Rd
404
Warren, MI 48093-2589
Phone
(586) 216-0990
NPI assigned
Aug 5, 2015
Last updated
Aug 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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

Authorized official

Name
Dawn Jakubowski, MT
Title
Owner; Manager
Phone
(586) 216-0990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 7501004559 MI Primary

Addresses

Primary practice location

11443 E 13 Mile Rd
404
Warren, MI 48093-2589

Mailing address

25797 Curie Ave
Warren, MI 48091-3829
Phone (586) 216-0990

National Provider Directory

National Provider Directory

Locations

11443 E 13 Mile Rd
Ste 404
Warren, MI 48093
Phone (586) 216-0990

NPI Registry JSON

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438732800000",
    "number": "1265818850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25797 CURIE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480913829",
            "telephone_number": "586-216-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11443 E 13 MILE RD",
            "address_2": "404",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932589",
            "telephone_number": "586-216-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH FULL ELEMENTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A",
        "authorized_official_last_name": "JAKUBOWSKI",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OWNER; MANAGER",
        "authorized_official_telephone_number": "586-216-0990",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "MI",
            "license": "7501004559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.