Residential Wellness Group LLC

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

RESIDENTIAL WELLNESS GROUP LLC

Practice address

16179 Meyers Rd
Detroit, MI 48235-4108

Phone

(800) 318-6141

NPI assigned

Sep 21, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Channon Sykes

Title

Manager

Phone

(313) 829-4925

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348185600000",
    "number": "1497006100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14236 KENTUCKY ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482382363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16179 MEYERS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482354108",
            "telephone_number": "800-318-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESIDENTIAL WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-21",
        "last_updated": "2012-09-21",
        "status": "A",
        "authorized_official_last_name": "SYKES",
        "authorized_official_first_name": "CHANNON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "313-829-4925",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Respite Care in Detroit, MI
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; 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.