Organization Active NPI

Total Care Health Managment PLLC

  • Pain Medicine Physician
  • Dearborn, MI
National Provider Identifier
1407488984
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
TOTAL CARE HEALTH MANAGMENT PLLC
Practice address
14650 W Warren Ave Ste 300
Dearborn, MI 48126-1782
Phone
(248) 809-6510
NPI assigned
Feb 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Authorized official

Name
Bianca Leverett
Title
C.E.O
Phone
(248) 809-6510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

14650 W Warren Ave Ste 300
Dearborn, MI 48126-1782

Mailing address

14650 W Warren Ave Ste 300
Dearborn, MI 48126-1782
Phone (248) 809-6510

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1407488984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14650 W WARREN AVE STE 300",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261782",
            "telephone_number": "248-809-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14650 W WARREN AVE STE 300",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261782",
            "telephone_number": "248-809-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL CARE HEALTH MANAGMENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "LEVERETT",
        "authorized_official_first_name": "BIANCA",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "248-809-6510"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.