Organization Active NPI

Milestone Rehab Services, Inc.

  • Child Physical Disabilities Respite Care
  • Canton, MI
National Provider Identifier
1326246083
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Physical Disabilities Respite CareTaxonomy code 385HR2065X
License
236764 Issued in MI
Legal business name
MILESTONE REHAB SERVICES, INC.
Practice address
5820 N Lilley Rd
Suite 1.
Canton, MI 48187-3686
Phone
(734) 259-8710
Fax
(734) 259-8718
NPI assigned
Jul 4, 2007
Last updated
Dec 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Authorized official

Name
Atif Majeed
Title
President
Phone
(734) 259-8710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Physical Disabilities Respite Care 385HR2065X 236764 MI Primary

Addresses

Primary practice location

5820 N Lilley Rd
Suite 1.
Canton, MI 48187-3686

Mailing address

5820 N Lilley Rd
Suite 1.
Canton, MI 48187-3686
Phone (734) 259-8710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050202000334 MI Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 0446201966 Practice locations: Canton, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326246083. Details of each certification follow.

  • CCN 236764 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 236764

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
MILESTONE REHAB SERVICES INC
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Nov 10, 1999
Last certification
Jan 4, 2021
Ownership / control type
Proprietary
Facility address
5820 N Lilley Road, Ste 1
Canton, MI 48187

National Provider Directory

National Provider Directory

Locations

5820 N Lilley Rd
Ste 1
Canton, MI 48187
Phone (734) 259-8710

4513 E 9 Mile Rd
#A
Warren, MI 48091
Phone (586) 759-8520

NPI Registry JSON

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

{
    "created_epoch": "1183507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1326246083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 N LILLEY RD",
            "address_2": "SUITE 1.",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873686",
            "telephone_number": "734-259-8710",
            "fax_number": "734-259-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 N LILLEY RD",
            "address_2": "SUITE 1.",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873686",
            "telephone_number": "734-259-8710",
            "fax_number": "734-259-8718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONE REHAB SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-04",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "MAJEED",
        "authorized_official_first_name": "ATIF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-259-8710"
    },
    "taxonomies": [
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": "MI",
            "license": "236764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

Verify at the official NPI Registry.