Organization Active NPI

Livonia Palliative Care P.L.L.C.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Livonia, MI
National Provider Identifier
1447432794
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
4301070040 Issued in MI
Legal business name
LIVONIA PALLIATIVE CARE P.L.L.C.
Practice address
14100 Newburgh Rd
Livonia, MI 48154-5010
Phone
(724) 953-6033
Fax
(734) 464-2035
NPI assigned
Nov 28, 2007
Last updated
Feb 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Authorized official

Name
Dr. James Scott Boal, M.D.NPI 1992703672
Title
Owner
Phone
(734) 953-6033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 4301070040 MI Primary

Addresses

Primary practice location

14100 Newburgh Rd
Livonia, MI 48154-5010

Mailing address

14100 Newburgh Rd
Livonia, MI 48154-5010
Phone (724) 953-6033

National Provider Directory

National Provider Directory

Locations

14100 Newburgh Rd
Livonia, MI 48154
Phone (734) 464-7810

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": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1447432794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 NEWBURGH RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545010",
            "telephone_number": "724-953-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 NEWBURGH RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545010",
            "telephone_number": "724-953-6033",
            "fax_number": "734-464-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVONIA PALLIATIVE CARE P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "BOAL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-953-6033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "MI",
            "license": "4301070040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.