Mercyland Health Services

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MERCYLAND HEALTH SERVICES

Practice address

16100 19 Mile Rd
Suite 300
Clinton TWP, MI 48038-1148

Phone

(313) 600-6326

NPI assigned

Oct 7, 2016

Organization subpart

No

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

Authorized official

Name

Angelo B Foster

Title

It Manager

Phone

(313) 600-6326

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1699225284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16100 19 MILE RD",
            "address_2": "SUITE 300",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381148",
            "telephone_number": "313-600-6326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16100 19 MILE RD",
            "address_2": "SUITE 300",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381148",
            "telephone_number": "313-600-6326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCYLAND HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-07",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "IT MANAGER",
        "authorized_official_telephone_number": "313-600-6326"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.