Verdurous Me, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7501008527 Issued in MI

Legal business name

VERDUROUS ME, LLC

Practice address

49881 Grand River Ave
Wixom, MI 48393-3309

Phone

(248) 229-4016

NPI assigned

Oct 27, 2016

Last updated

Oct 27, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leesa Hansknecht

Title

Wellness Specialist

Phone

(248) 229-4016

Specialties & licenses 1

Addresses

Tax ID family

Verdurous Me LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Verdurous Me, LLC

  • Massage Therapist
  • Wixom, MI
  • NPI 1124548185
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daviana Butler

  • Athletic Trainer
  • Wixom, MI
  • NPI 1700314747
  NPD (past)
• Charles Clagg, LMT

  • Massage Therapist
  • Livonia, MI
  • NPI 1831627876
  NPD (past)

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1689126468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49881 GRAND RIVER AVE",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483933309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49881 GRAND RIVER AVE",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483933309",
            "telephone_number": "248-229-4016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERDUROUS ME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "HANSKNECHT",
        "authorized_official_first_name": "LEESA",
        "authorized_official_title_or_position": "WELLNESS SPECIALIST",
        "authorized_official_telephone_number": "248-229-4016"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501008527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Rose Trager, LMSW
• Trinity Medical Consultants PLLC
• Usv Optical Inc.
• Usv Optical, Inc. (Meijer Optical)
• Verdurous Me, LLC
• Colin Vetor
• Devi Janani Vijaya Raghavan
• Loretta E Villeneuve, P.A.
• Dayna Ruth Weber, LPC
• Weller Chiropractic Clinic P.C.

• Massage Therapist in Wixom, MI
• Providers in Wixom, MI by specialty
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.