Organization Active NPI

Care Recovery Clinic PLLC

  • Pain Clinic/Center
  • Dearborn, MI
National Provider Identifier
1295382976
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
CARE RECOVERY CLINIC PLLC
Practice address
13530 Michigan Ave Ste 301
Dearborn, MI 48126-3555
Phone
(313) 528-1145
Fax
(313) 528-1147
NPI assigned
Aug 19, 2019
Last updated
Aug 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Authorized official

Name
Daoud A Faraj, MD
Title
Owner
Phone
(313) 528-1145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

13530 Michigan Ave Ste 301
Dearborn, MI 48126-3555

Mailing address

13530 Michigan Ave Ste 301
Dearborn, MI 48126-3555
Phone (313) 528-1145

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566172800000",
    "number": "1295382976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13530 MICHIGAN AVE STE 301",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263555",
            "telephone_number": "313-528-1145",
            "fax_number": "313-528-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13530 MICHIGAN AVE STE 301",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263555",
            "telephone_number": "313-528-1145",
            "fax_number": "313-528-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE RECOVERY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A",
        "authorized_official_last_name": "FARAJ",
        "authorized_official_first_name": "DAOUD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-528-1145",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.