Premier Care Warren

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6803085617 Issued in MI

Legal business name

PREMIER CARE WARREN

Practice address

23700 Van Dyke Ave
Warren, MI 48089-1600

Phone

(586) 758-6670

NPI assigned

Aug 18, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Kris Monique LewisNPI 1114295334

Title

Substance Abuse Therapist

Phone

(586) 758-6670

Specialties & licenses 2

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Premier Care Warren

  • Methadone Clinic
  • Warren, MI
  • NPI 1992086144
  NPPES parent name

Practitioners 1

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

• Kris Lewis

  • Addiction (Substance Use Disorder) Counselor
  • Detroit, MI
  • NPI 1114295334
  NPD (past) Authorized official

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1356621668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20205 SORRENTO ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482351191",
            "telephone_number": "313-585-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23700 VAN DYKE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480891600",
            "telephone_number": "586-758-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CARE WARREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "KRIS",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "SUBSTANCE ABUSE THERAPIST",
        "authorized_official_telephone_number": "586-758-6670",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6803085617",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "1-04845",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercy Prakash, FAMILY NURSE PRACTIT
• Precious Time Non Medical Home Care/Concierge Services
• Preferred Rehab Center LLC
• Preferred Rehab Clinic PC
• Premier Care Services LLC
• Premier Care Warren
• Premier Health and Wellness Center
• Premier Medical Movement Management Company LLC
• Premier Physical Rehab LLC
• Preserve Independence

• Community/Behavioral Health Agency in Warren, MI
• Providers in Warren, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.