Organization Active NPI

Primacare LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monroe, MI
National Provider Identifier
1376049809
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PRIMACARE LLC
Practice address
14930 Laplaisance Rd
Ste 138
Monroe, MI 48161
Phone
(734) 513-1122
Fax
(734) 421-1405
NPI assigned
Apr 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Authorized official

Name
Louise Capraro, MA LLP
Title
Coo
Phone
(734) 513-1122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

14930 Laplaisance Rd
Ste 138
Monroe, MI 48161

Mailing address

28303 Joy Rd
Westland, MI 48185
Phone (734) 513-1122

National Provider Directory

National Provider Directory
Tax ID family
Primacare LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14930 Laplaisance Rd
Ste 138
Monroe, MI 48161
Phone (734) 241-9574

Practitioners & affiliated clinicians

Practitioners 3

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": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522713600000",
    "number": "1376049809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28303 JOY RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "48185",
            "telephone_number": "734-513-1122",
            "fax_number": "734-421-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14930 LAPLAISANCE RD",
            "address_2": "STE 138",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "48161",
            "telephone_number": "734-513-1122",
            "fax_number": "734-421-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMACARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-04-03",
        "status": "A",
        "authorized_official_last_name": "CAPRARO",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "734-513-1122",
        "authorized_official_credential": "MA LLP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.