Active NPI
Bernadeta Lis
- Child Intellectual and/or Developmental Disabilities Respite Care
- Rochester Hills, MI
National Provider Identifier
1609252592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite Care
- Practice address
- 520 Oxford CT
Rochester Hills, MI 48307-4527 - Phone
- (248) 909-8840
- NPI assigned
- Aug 3, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | Primary |
Addresses
Primary practice location
520 Oxford CT
Rochester Hills, MI 48307-4527
Mailing address
520 Oxford CT
Rochester Hills, MI 48307-4527
Phone (248) 909-8840
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438560000000",
"number": "1609252592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 OXFORD CT",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483074527",
"telephone_number": "248-909-8840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 OXFORD CT",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483074527",
"telephone_number": "248-909-8840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIS",
"first_name": "BERNADETA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-03",
"last_updated": "2015-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.