Springwell Adult Services PLLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

SPRINGWELL ADULT SERVICES PLLC

Practice address

21122 Indian St
Southfield, MI 48033-3579

Phone

(248) 252-7050

NPI assigned

Jun 19, 2018

Organization subpart

No

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

Authorized official

Name

Stormey Denise Jackson, LLMSW

Title

Clinical Director

Phone

(248) 252-7050

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1710471115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23469 RANCH HILL DR W",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333187",
            "telephone_number": "248-252-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21122 INDIAN ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333579",
            "telephone_number": "248-252-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGWELL ADULT SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "STORMEY",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "248-252-7050",
        "authorized_official_credential": "LLMSW"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimatha L Spratling, LLMSW
• Madelyn Spring
• Danielle Springer
• Deborah Springfield
• Patricia Ann Springs, LMSW
• Christie Spudowski
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• St Christophers Diagnostic Labs of Michigan
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• St John Health

• Adult Day Care Clinic/Center in Southfield, MI
• Providers in Southfield, MI by specialty
• Adult Day Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.