Commmerce Comfort Care

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

COMMMERCE COMFORT CARE

Practice address

100 Decker Rd
Walled Lake, MI 48390-3625

Phone

(248) 896-1400

Fax

(248) 859-5214

NPI assigned

Jul 29, 2021

Last updated

Jul 29, 2021By 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

Mrs. April Johnson, LPN

Title

Resident Care Director

Phone

(248) 896-1400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1588337109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DECKER RD",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903625",
            "telephone_number": "248-896-1400",
            "fax_number": "248-859-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DECKER RD",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903625",
            "telephone_number": "248-896-1400",
            "fax_number": "248-859-5214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMMERCE COMFORT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "RESIDENT CARE DIRECTOR",
        "authorized_official_telephone_number": "248-896-1400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nabrina Coomer
• Dana L Corosanite, DC
• Joseph Jason Corosanite, DC

• Adult Care Home Facility in Walled Lake, MI
• Providers in Walled Lake, 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 Jul 29, 2021; 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.