Releicia Shields

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

311ZA0620X Issued in MI

Practice address

27069 Pinewood Dr Apt 103
Wixom, MI 48393-3298

Phone

(248) 939-2725

NPI assigned

Apr 15, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397520000000",
    "number": "1508285750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27069 PINEWOOD DR APT 103",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483933298",
            "telephone_number": "248-939-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27069 PINEWOOD DR APT 103",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483933298",
            "telephone_number": "248-939-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "RELEICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "311ZA0620X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elvira Shani
• Benjamin Shaw
• Maria Sheehy, LMSW
• Rekha Shenoy
• Benjamin W Sheppard, IONM
• Mike Maher Shihadeh
• Shelly Ann Siegel, MA-CCC/SLP
• Megan M Silverman, LMSW
• John Slindee, RPH
• James Earl Smart, R.PH.

• Adult Care Home Facility in Wixom, MI
• Providers in Wixom, MI by specialty
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; 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.