Regal Towers BLDG C , LLC Dba Imperial Senior Suites

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

REGAL TOWERS BLDG C , LLC DBA IMPERIAL SENIOR SUITES

Doing business as

Imperial Senior Suites

Practice address

27600 Franklin Rd Ofc
Southfield, MI 48034-2360

Phone

(248) 200-0180

Fax

(248) 200-0182

NPI assigned

Jun 5, 2020

Last updated

Jun 5, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jill Marie Harrison

Title

Executive Director

Phone

(248) 200-0180

Specialties & licenses 1

Addresses

Other names 1

• Imperial Senior Suites Doing business as

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591315200000",
    "number": "1588288534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27600 FRANKLIN RD OFC",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480342360",
            "telephone_number": "248-200-0180",
            "fax_number": "248-200-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27600 FRANKLIN RD OFC",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480342360",
            "telephone_number": "248-200-0180",
            "fax_number": "248-200-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGAL TOWERS BLDG C , LLC DBA IMPERIAL SENIOR SUITES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-05",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EXECUTIVE  DIRECTOR",
        "authorized_official_telephone_number": "248-200-0180"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Imperial Senior Suites",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Southfield, MI
• Providers in Southfield, MI by specialty
• Assisted Living Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; 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.