4 Ur Recovery Therapy, LLC

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

4 UR RECOVERY THERAPY, LLC

Practice address

19201 Warren St
Detroit, MI 48228

Phone

(248) 327-6766

Fax

(248) 996-8457

NPI assigned

Jul 3, 2018

Last updated

Jun 11, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Myrna Fayad

Title

Owner

Phone

(313) 551-3316

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1316433329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 7459",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48121",
            "telephone_number": "313-899-0498",
            "fax_number": "248-996-8457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19201 WARREN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48228",
            "telephone_number": "248-327-6766",
            "fax_number": "248-996-8457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4 UR RECOVERY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-03",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "FAYAD",
        "authorized_official_first_name": "MYRNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-551-3316"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Comprehensive Outpatient Rehabilitation Facility (CORF) in Detroit, MI
• Providers in Detroit, MI by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.