Virginia Park Wellness Center LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VIRGINIA PARK WELLNESS CENTER LLC

Practice address

8500 14TH St Ste 101
Detroit, MI 48206-2574

Phone

(313) 894-3950

Fax

(313) 894-1729

NPI assigned

Apr 29, 2024

Organization subpart

No

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

Authorized official

Name

Ephraim Onwuegbuchu, RPHNPI 1336495696

Title

Manager

Phone

(313) 525-6566

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ephraim I Onwuegbuchu, RPH

  • Pharmacist
  • Detroit, MI
  • NPI 1336495696
  NPD Authorized official
• Chidimma A Onwuegbuchu, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Westland, MI
  • NPI 1235704222
  NPD

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1629824743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11748 HEATHERWOOD CIR",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481804188",
            "telephone_number": "313-525-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 14TH ST STE 101",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482062574",
            "telephone_number": "313-894-3950",
            "fax_number": "313-894-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA PARK WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "ONWUEGBUCHU",
        "authorized_official_first_name": "EPHRAIM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "313-525-6566",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vip Medical Care
• Virginia Park Citizens Service Corporation
• Virginia Park Internal Medicine PC
• Virginia Park Medical Center Professional Corporation
• Virginia Park Medical Services PLLC
• Joan Visger, PHD, CNM
• Vision Home Help Care LLC
• Visions Home Healthcare Inc
• Visions in Action
• Visiting Cares

• Family Medicine Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.