NPIMap

Organization Active NPI

Myangels Workshop

  • Adult Day Care Clinic/Center
  • Warren, MI
National Provider Identifier
1538550181
Registry record updated Feb 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
MYANGELS WORKSHOP
Practice address
2515 E 12 Mile Rd
Warren, MI 48092-5648
Phone
(586) 443-6543
NPI assigned
Feb 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2015

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

Authorized official

Name
Juanita Hickmon
Title
Owner
Phone
(586) 443-6543

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X MI Primary

Addresses

Primary practice location

2515 E 12 Mile Rd
Warren, MI 48092-5648

Mailing address

2515 E 12 Mile Rd
Warren, MI 48092-5648
Phone (586) 443-6543

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424131200000",
    "number": "1538550181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480925648",
            "telephone_number": "586-443-6543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480925648",
            "telephone_number": "586-443-6543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYANGELS WORKSHOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-17",
        "last_updated": "2015-02-17",
        "status": "A",
        "authorized_official_last_name": "HICKMON",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-443-6543"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; 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.