Active NPI
Nicole Marie Holyfield
- Developmentally Disabled Services Day Training Agency
- Livonia, MI
National Provider Identifier
1659805588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Practice address
- 16000 Middlebelt Rd
Livonia, MI 48154-3359 - Phone
- (734) 524-0378
- Fax
- (734) 524-0379
- NPI assigned
- Apr 18, 2017
- Last updated
- Apr 18, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | NU | Primary | |
| Adult Day Care Clinic/Center | 261QA0600X | NU | ||
| Respite Care | 385H00000X | NU |
Addresses
Primary practice location
16000 Middlebelt Rd
Livonia, MI 48154-3359
Mailing address
16000 Middlebelt Rd
Livonia, MI 48154-3359
Phone (734) 524-0378
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 261QA0600X | Medicaid | MI | |
| 251C00000X | Medicaid | MI | |
| 385H00000X | Medicaid | MI |
Other names 1
- Nicole Marie Scaglione
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": "1492473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492473600000",
"number": "1659805588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16000 MIDDLEBELT RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481543359",
"telephone_number": "734-524-0378",
"fax_number": "734-524-0379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16000 MIDDLEBELT RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481543359",
"telephone_number": "734-524-0378",
"fax_number": "734-524-0379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLYFIELD",
"first_name": "NICOLE",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-18",
"last_updated": "2017-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "261QA0600X",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251C00000X",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "385H00000X",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "SCAGLIONE",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.