Organization Active NPI

Netcare Rehabilitation, Inc

  • Specialist
  • W Bloomfield, MI
National Provider Identifier
1699716167
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
TO006445 Issued in MI
Legal business name
NETCARE REHABILITATION, INC
Practice address
7140 Pebble Park Dr
W Bloomfield, MI 48322-3505
Phone
(313) 590-2332
NPI assigned
Jun 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Taiwo Ogunleye, PTNPI 1578734273
Title
Ceo/President
Phone
(313) 590-2332

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X TO006445 MI Primary

Addresses

Primary practice location

7140 Pebble Park Dr
W Bloomfield, MI 48322-3505

Mailing address

7140 Pebble Park Dr
W Bloomfield, MI 48322-3505
Phone (313) 590-2332

Other identifiers 1

IdentifierTypeStateIssuer
P02860001OtherMIMEDICARE GRP UPIN NO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699716167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7140 PEBBLE PARK DR",
            "city": "W BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223505",
            "telephone_number": "313-590-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7140 PEBBLE PARK DR",
            "city": "W BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223505",
            "telephone_number": "313-590-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NETCARE REHABILITATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OGUNLEYE",
        "authorized_official_first_name": "TAIWO",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "313-590-2332",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "TO006445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GRP UPIN NO",
            "identifier": "P02860001",
            "state": "MI"
        }
    ],
    "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 Aug 22, 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.