Organization Active NPI

Urgent Care Warren Staffing LLC

  • Family Nurse Practitioner
  • Warren, MI
National Provider Identifier
1447104716
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
URGENT CARE WARREN STAFFING LLC
Practice address
30736 Hoover Rd
Warren, MI 48093-2555
Phone
(313) 231-9670
NPI assigned
Feb 24, 2026
Last updated
Apr 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Authorized official

Name
Mohammed Islam
Title
Registered Nurse/Owner
Phone
(313) 231-9670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

30736 Hoover Rd
Warren, MI 48093-2555

Mailing address

34461 Richard O Dr
Sterling Heights, MI 48310-6129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260507001087 MI Part B Supplier - Clinic/Group Practice 5496223521 Receives reassigned benefits from 1 practitioner
Practice locations: Warren, MI

National Provider Directory

National Provider Directory

Locations

30736 Hoover Rd
Warren, MI 48093
Phone (586) 806-2260

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1771891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1447104716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34461 RICHARD O DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483106129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30736 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932555",
            "telephone_number": "313-231-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE WARREN STAFFING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-24",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "ISLAM",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "REGISTERED NURSE/OWNER",
        "authorized_official_telephone_number": "313-231-9670"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "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 Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.