Natures Natural Mobile Spa

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

NATURES NATURAL MOBILE SPA

Practice address

3008 Marlborough St
Detroit, MI 48215-2536

Phone

(586) 277-0102

NPI assigned

May 2, 2016

Organization subpart

No

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

Authorized official

Name

Rayshawnda Riley

Title

Owner

Phone

(313) 974-1793

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1295180834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 MARLBOROUGH ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482152536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 MARLBOROUGH ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482152536",
            "telephone_number": "586-277-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURES NATURAL MOBILE SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "RAYSHAWNDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-974-1793"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Detroit, MI
• Providers in Detroit, MI by specialty
• Health Maintenance Organization in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.

Verify at the official NPI Registry.