Tbi Residential Rehab, LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

TBI RESIDENTIAL REHAB, LLC

Practice address

63 Waltonshire CT
Rochester Hills, MI 48309-1100

Phone

(248) 732-7807

Fax

(248) 732-7352

NPI assigned

May 7, 2021

Last updated

Sep 2, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Nina Lang

Title

Sole Member

Phone

(248) 361-1389

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1437733391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3834 WABEEK LAKE DR E",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021258",
            "telephone_number": "248-361-1389",
            "fax_number": "248-355-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 WALTONSHIRE CT",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091100",
            "telephone_number": "248-732-7807",
            "fax_number": "248-732-7352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TBI RESIDENTIAL REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "248-361-1389",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Tayar
• Ghiath Tayeb, MD
• Diane Lynn Taylor
• Sarah S Taylor, O.D.
• Stephanie Taylor, MA, LLPC, NCC
• Nancy Tedder, LLPC
• Diane Teenier
• Karol K Teetor, LPC
• Telecare Counseling
• Katherine Margaret Tessmar, LMSW

• Mental Illness Community Based Residential Treatment Facility in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Mental Illness Community Based Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.