Stabilicare LLL , LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

STABILICARE LLL , LLC

Practice address

121 Prall St
Pontiac, MI 48341-1438

Phone

(313) 676-0013

NPI assigned

Oct 13, 2022

Organization subpart

No

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

Authorized official

Name

David Ellis

Title

Ceo

Phone

(313) 676-0013

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1407572290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 PRALL ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 PRALL ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411438",
            "telephone_number": "313-676-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STABILICARE LLL , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-676-0013"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Joseph Mercy Oakland
• St. Joseph Mercy Oakland
• St. Joseph Mercy Oakland Pontiac
• St. Joseph'S Mercy Oakland
• Carol Patricia St.Henry, CRNA
• Stacy Jenkins, MD, PLC
• Scott Stanton, LLMSW
• Princess Staples
• Shaniqua Staples, BA
• Star Dental P.C.

• Rehabilitation Clinic/Center in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Rehabilitation Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.