Active NPI
Baby & Mom Wellness LLC
- Early Intervention Provider Agency
- W Bloomfield, MI
National Provider Identifier
1649711979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Legal business name
- BABY & MOM WELLNESS LLC
- Practice address
- 6689 Orchard Lake Rd Ste 233
W Bloomfield, MI 48322-3404 - Phone
- (248) 497-7125
- NPI assigned
- Mar 20, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pamela Hall
- Title
- Member
- Phone
- (248) 497-7125
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Primary |
Addresses
Primary practice location
6689 Orchard Lake Rd Ste 233
W Bloomfield, MI 48322-3404
Mailing address
6689 Orchard Lake Rd Ste 233
W Bloomfield, MI 48322-3404
Phone (248) 497-7125
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489968000000",
"number": "1649711979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6689 ORCHARD LAKE RD STE 233",
"city": "W BLOOMFIELD",
"state": "MI",
"postal_code": "483223404",
"telephone_number": "248-497-7125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6689 ORCHARD LAKE RD STE 233",
"city": "W BLOOMFIELD",
"state": "MI",
"postal_code": "483223404",
"telephone_number": "248-497-7125"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BABY & MOM WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-20",
"last_updated": "2017-03-20",
"status": "A",
"authorized_official_last_name": "HALL",
"authorized_official_first_name": "PAMELA",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "248-497-7125"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in W Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.