NPIMap

Organization Active NPI

Personalized Nursing Light House Inc

  • PACE Provider Organization
  • Farmington Hills, MI
National Provider Identifier
1346684420
Registry record updated Apr 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
License
631359 Issued in MI
Legal business name
PERSONALIZED NURSING LIGHT HOUSE INC
Practice address
23133 Orchard Lake Rd
Ste 203
Farmington Hills, MI 48336-3268
Phone
(248) 615-1891
NPI assigned
Apr 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2013

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

Authorized official

Name
Mr. Joseph Paliwoda
Title
Ceo
Phone
(734) 451-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X 631359 MI Primary

Addresses

Primary practice location

23133 Orchard Lake Rd
Ste 203
Farmington Hills, MI 48336-3268

Mailing address

23133 Orchard Lake Rd
Ste 203
Farmington Hills, MI 48336-3268

National Provider Directory

National Provider Directory

Locations

2755 Carpenter Rd
Ste 1W
Ann Arbor, MI 48108
Phone (734) 477-9000

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366329600000",
    "number": "1346684420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23133 ORCHARD LAKE RD",
            "address_2": "STE 203",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483363268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23133 ORCHARD LAKE RD",
            "address_2": "STE 203",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483363268",
            "telephone_number": "248-615-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED NURSING LIGHT HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-19",
        "last_updated": "2013-04-19",
        "status": "A",
        "authorized_official_last_name": "PALIWODA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "734-451-7800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "MI",
            "license": "631359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; 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.