NPIMap

Organization Active NPI

Concerto Healthcare Services, Inc.

  • Primary Care Clinic/Center
  • Centerline, MI
National Provider Identifier
1376923409
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CONCERTO HEALTHCARE SERVICES, INC.
Practice address
25373 Van Dyke Ave
Centerline, MI 48015-1425
Phone
(313) 748-4200
NPI assigned
Jun 3, 2015
Organization subpart
Yes
Parent organization
CONCERTO HEALTHCARE OF MICHIGAN, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Authorized official

Name
Ms. Cindy Rita Becker, ESQ.
Title
Secretary
Phone
(949) 398-8413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

25373 Van Dyke Ave
Centerline, MI 48015-1425

Mailing address

25373 Van Dyke Ave
Centerline, MI 48015-1425
Phone (313) 748-4200

Other names 1

  • FSC of Michigan Services, Inc. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Concerto Healthcare of Michigan Inc4 organizations share this tax ID, including this one
Part of
Concerto Healthcare of Michigan Inc

Other organizations with this tax ID 3

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

Locations

25373 Van Dyke Ave
Center Line, MI 48015
Phone (248) 206-5846

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439337600000",
    "number": "1376923409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25373 VAN DYKE AVE",
            "city": "CENTERLINE",
            "state": "MI",
            "postal_code": "480151425",
            "telephone_number": "313-748-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25373 VAN DYKE AVE",
            "city": "CENTERLINE",
            "state": "MI",
            "postal_code": "480151425",
            "telephone_number": "313-748-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCERTO HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONCERTO HEALTHCARE OF MICHIGAN, INC.",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-08-12",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "RITA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "949-398-8413",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FSC of Michigan Services, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Centerline, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; 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.