Active NPI
Michcare LLC
- Registered Dietitian
- Rochester, MI
National Provider Identifier
1457782708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- MICHCARE LLC
- Practice address
- 4986 N Adams Rd
Suite D
Rochester, MI 48306-5017 - Phone
- (248) 475-4701
- Fax
- (248) 475-5777
- NPI assigned
- Dec 11, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ewa Matuszewski
- Title
- President
- Phone
- (248) 475-4701
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Registered Dietitian | 133V00000X | Primary | ||
| Case Manager/Care Coordinator | 171M00000X | |||
| Lactation Consultant (Non-RN) | 174N00000X |
Addresses
Primary practice location
4986 N Adams Rd
Suite D
Rochester, MI 48306-5017
Mailing address
4986 N Adams Rd
Suite D
Rochester, MI 48306-5017
Phone (248) 475-4701
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386720000000",
"number": "1457782708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4986 N ADAMS RD",
"address_2": "SUITE D",
"city": "ROCHESTER",
"state": "MI",
"postal_code": "483065017",
"telephone_number": "248-475-4701",
"fax_number": "248-475-5777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4986 N ADAMS RD",
"address_2": "SUITE D",
"city": "ROCHESTER",
"state": "MI",
"postal_code": "483065017",
"telephone_number": "248-475-4701",
"fax_number": "248-475-5777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-11",
"last_updated": "2013-12-11",
"status": "A",
"authorized_official_last_name": "MATUSZEWSKI",
"authorized_official_first_name": "EWA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-475-4701"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "174N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.