Organization Active NPI

Mommys Love Bug LLC

  • Case Management Agency
  • Farmington Hills, MI
National Provider Identifier
1619394822
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MOMMYS LOVE BUG LLC
Practice address
24853 Arden Park Dr
Farmington Hills, MI 48336-2211
Phone
(248) 894-6462
Fax
(866) 594-6994
NPI assigned
Mar 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Authorized official

Name
Miss Carmen Desiree Wilson
Title
President
Phone
(248) 894-6462

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

24853 Arden Park Dr
Farmington Hills, MI 48336-2211

Mailing address

24853 Arden Park Dr
Farmington Hills, MI 48336-2211
Phone (248) 894-6462

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1619394822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24853 ARDEN PARK DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483362211",
            "telephone_number": "248-894-6462",
            "fax_number": "866-594-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24853 ARDEN PARK DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483362211",
            "telephone_number": "248-894-6462",
            "fax_number": "866-594-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMMYS LOVE BUG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-25",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "DESIREE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-894-6462",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.