NPIMap

Organization Active NPI

Preferred Rehab Center LLC

  • Clinical Social Worker
  • Warren, MI
National Provider Identifier
1376053322
Registry record updated Oct 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801020802 Issued in MI
Legal business name
PREFERRED REHAB CENTER LLC
Practice address
5659 E 13 Mile Rd
Warren, MI 48092-1511
Phone
(586) 698-2810
NPI assigned
Oct 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2017

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

Authorized official

Name
Monique Ann Hatchinson
Title
Director
Phone
(586) 698-2810

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 6801020802 MI
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 6801020802 MI Primary

Addresses

Primary practice location

5659 E 13 Mile Rd
Warren, MI 48092-1511

Mailing address

5659 E 13 Mile Rd
Warren, MI 48092-1511
Phone (586) 698-2810

National Provider Directory

National Provider Directory

Locations

5659 E 13 Mile Rd
Warren, MI 48092
Phone (586) 698-2747

NPI Registry JSON

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507075200000",
    "number": "1376053322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5659 E 13 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480921511",
            "telephone_number": "586-698-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5659 E 13 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480921511",
            "telephone_number": "586-698-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-04",
        "last_updated": "2017-10-04",
        "status": "A",
        "authorized_official_last_name": "HATCHINSON",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "586-698-2810"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801020802",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801020802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; 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.