My Peaceful Refuge, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MY PEACEFUL REFUGE, LLC

Practice address

20428 Norborne
Redford, MI 48240-1109

Phone

(313) 492-8951

Fax

(248) 282-0658

NPI assigned

Oct 19, 2021

Organization subpart

No

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

Authorized official

Name

Carol DavisNPI 1043973878

Title

Administrator - Care Provider

Phone

(313) 492-8951

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carol Davis

  • Home Health Aide
  • Redford, MI
  • NPI 1043973878
  NPD Authorized official

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1487317210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 SOUTH BLVD UNIT 175",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483037007",
            "telephone_number": "313-492-8951",
            "fax_number": "248-282-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20428 NORBORNE",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482401109",
            "telephone_number": "313-492-8951",
            "fax_number": "248-282-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY PEACEFUL REFUGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "ADMINISTRATOR - CARE PROVIDER",
        "authorized_official_telephone_number": "313-492-8951"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rokeya Muhaimeen, MD
• Laurie Ann Mulka, DDS
• Christopher Gerald Munro, A.A.S.
• Lindon Munro, LBSW
• Katelin Music
• Nabil Metwally MD PC
• Lawrence Nester Nahrgang Jr., LMSW ACSW
• Kashif A. Naqvi, DDS
• Nard Trans, Inc.
• Hamzi Mohamad Naserdean, D.C.

• Home Health Agency in Redford, MI
• Providers in Redford, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.