Organization Active NPI

Mainstream Media Group

  • In Home Supportive Care Agency
  • Southfield, MI
National Provider Identifier
1750826236
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MAINSTREAM MEDIA GROUP
Practice address
5000 Town Ctr
2405
Southfield, MI 48075-1110
Phone
(248) 943-4107
NPI assigned
Dec 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Authorized official

Name
Gabrielle Thrasher
Title
Administrative Assistant
Phone
(248) 943-4107

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X
In Home Supportive Care Agency 253Z00000X Primary
Private Vehicle 347C00000X

Addresses

Primary practice location

5000 Town Ctr
2405
Southfield, MI 48075-1110

Mailing address

5000 Town Ctr
2405
Southfield, MI 48075-1110

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": "1482192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1750826236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 TOWN CTR",
            "address_2": "2405",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480751110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 TOWN CTR",
            "address_2": "2405",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480751110",
            "telephone_number": "248-943-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINSTREAM MEDIA GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-20",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "THRASHER",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "248-943-4107"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.