Optimal Care Dialysis

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

OPTIMAL CARE DIALYSIS

Practice address

18600 James Couzens Fwy
Detroit, MI 48235-2509

Phone

(313) 341-7870

Fax

(313) 341-7950

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Cynthia Claudine Griggs, M.D.

Title

Owner

Phone

(313) 341-7870

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730286014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18600 JAMES COUZENS FWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352509",
            "telephone_number": "313-341-7870",
            "fax_number": "313-341-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18600 JAMES COUZENS FWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352509",
            "telephone_number": "313-341-7870",
            "fax_number": "313-341-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL CARE DIALYSIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRIGGS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "CLAUDINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-341-7870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4366419",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Detroit, MI
• Providers in Detroit, MI by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Michigan

• 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.