Organization Active NPI

Greenvine Medical Staffing Group

  • Case Management Agency
  • Westland, MI
National Provider Identifier
1285354134
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
GREENVINE MEDICAL STAFFING GROUP
Practice address
35248 Palmer Rd
Westland, MI 48186-4458
Phone
(810) 373-9387
NPI assigned
Aug 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Authorized official

Name
George Watson, BSME, MHA
Title
Managing Director
Phone
(810) 373-9387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

35248 Palmer Rd
Westland, MI 48186-4458

Mailing address

PO Box 3164
Southfield, MI 48037-3164
Phone (810) 373-9387

National Provider Directory

National Provider Directory

Locations

35248 Palmer Rd
Westland, MI 48186
Phone (810) 373-9387

NPI Registry JSON

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1285354134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3164",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480373164",
            "telephone_number": "810-373-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35248 PALMER RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481864458",
            "telephone_number": "810-373-9387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVINE MEDICAL STAFFING GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "810-373-9387",
        "authorized_official_credential": "BSME, MHA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.