Active NPI
Meadows Assisted Living LLC
- Adult Day Care Clinic/Center
- Mount Clemens, MI
National Provider Identifier
1275077273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- MEADOWS ASSISTED LIVING LLC
- Practice address
- 71 North Ave
Mount Clemens, MI 48043-5543 - Phone
- (586) 864-5608
- NPI assigned
- Dec 9, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Vincent Poma
- Title
- Ceo
- Phone
- (586) 864-5608
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
71 North Ave
Mount Clemens, MI 48043-5543
Mailing address
41504 Thoreau RDG
Novi, MI 48377-2853
Phone (586) 864-5608
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481241600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1481241600000",
"number": "1275077273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41504 THOREAU RDG",
"city": "NOVI",
"state": "MI",
"postal_code": "483772853",
"telephone_number": "586-864-5608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 NORTH AVE",
"city": "MOUNT CLEMENS",
"state": "MI",
"postal_code": "480435543",
"telephone_number": "586-864-5608"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEADOWS ASSISTED LIVING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-09",
"last_updated": "2016-12-09",
"status": "A",
"authorized_official_last_name": "POMA",
"authorized_official_first_name": "VINCENT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "586-864-5608",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Clemens, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.