Organization Active NPI

Luxurious Essentials LLC

  • Massage Therapist
  • Southfield, MI
National Provider Identifier
1558683094
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
LUXURIOUS ESSENTIALS LLC
Practice address
20755 Greenfield Rd
Suite 610
Southfield, MI 48075-5403
Phone
(313) 655-3860
NPI assigned
Feb 25, 2010
Last updated
Feb 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Authorized official

Name
Demetria K Davenport
Title
Owner
Phone
(313) 655-3860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

20755 Greenfield Rd
Suite 610
Southfield, MI 48075-5403

Mailing address

19405 Hasse St
Detroit, MI 48234-2195
Phone (313) 655-3860

Other names 1

  • Luxurious Essentials Other name

National Provider Directory

National Provider Directory

Locations

20755 Greenfield Rd
Ste 610
Southfield, MI 48075
Phone (313) 655-3860

NPI Registry JSON

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1558683094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19405 HASSE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482342195",
            "telephone_number": "313-655-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20755 GREENFIELD RD",
            "address_2": "SUITE 610",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755403",
            "telephone_number": "313-655-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXURIOUS ESSENTIALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-25",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "DEMETRIA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-655-3860"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luxurious Essentials",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.