Organization Active NPI

Motor City Drip L.L.C.

  • Health Service Clinic/Center
  • Riverview, MI
National Provider Identifier
1295563559
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
MOTOR CITY DRIP L.L.C.
Practice address
20110 Fort St Apt 201
Riverview, MI 48193-8721
Phone
(734) 772-8352
NPI assigned
Jul 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Miss Star Billy Schumake
Title
Owner/C.E.O.
Phone
(734) 772-8352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

20110 Fort St Apt 201
Riverview, MI 48193-8721

Mailing address

20110 Fort St Apt 201
Riverview, MI 48193-8721
Phone (734) 772-8352

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1295563559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20110 FORT ST APT 201",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481938721",
            "telephone_number": "734-772-8352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20110 FORT ST APT 201",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481938721",
            "telephone_number": "734-772-8352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTOR CITY DRIP L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "SCHUMAKE",
        "authorized_official_first_name": "STAR",
        "authorized_official_middle_name": "BILLY",
        "authorized_official_title_or_position": "OWNER/C.E.O.",
        "authorized_official_telephone_number": "734-772-8352",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.