Great Start Mihp LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

GREAT START MIHP LLC

Practice address

36380 Garfield Rd Ste 4
Clinton Township, MI 48035-1162

Phone

(586) 825-3029

Fax

(586) 825-3028

NPI assigned

Jun 3, 2020

Organization subpart

No

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

Authorized official

Name

Jennifer ShepherdNPI 1972127256

Title

Owner

Phone

(586) 825-3029

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jennifer Shepherd

  • Community Health Worker
  • Clinton Township, MI
  • NPI 1972127256

  Early Intervention Provider Agency

  NPD Authorized official

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591142400000",
    "number": "1669096947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36380 GARFIELD RD STE 4",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480351162",
            "telephone_number": "586-825-3029",
            "fax_number": "586-825-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36380 GARFIELD RD STE 4",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480351162",
            "telephone_number": "586-825-3029",
            "fax_number": "586-825-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT START MIHP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-03",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-825-3029"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Clinton Township, MI by specialty
• Early Intervention Provider Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.