Active NPI
Lakeland Neuro Care Center PTR
- Rehabilitation Clinic/Center
- Southfield, MI
National Provider Identifier
1760602668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- LAKELAND NEURO CARE CENTER PTR
- Practice address
- 26900 Franklin Rd.
Southfield, MI 48033 - Phone
- (248) 350-8070
- Fax
- (248) 350-9734
- NPI assigned
- Apr 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gary Ernest Romanelli
- Title
- Coo & Cfo
- Phone
- (248) 350-8070
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
26900 Franklin Rd.
Southfield, MI 48033
Mailing address
26900 Franklin Rd.
Southfield, MI 48033
Phone (248) 350-8070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 604846736 | Medicaid | MI |
Other names 1
- The Lakeland Center
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Phoenix, AZ
- NPI 1992039093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1485302400000",
"number": "1760602668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26900 FRANKLIN RD.",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "48033",
"telephone_number": "248-350-8070",
"fax_number": "248-350-9734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26900 FRANKLIN RD.",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "48033",
"telephone_number": "248-350-8070",
"fax_number": "248-350-9734"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKELAND NEURO CARE CENTER PTR",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-26",
"last_updated": "2017-01-25",
"status": "A",
"authorized_official_last_name": "ROMANELLI",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "ERNEST",
"authorized_official_title_or_position": "COO & CFO",
"authorized_official_telephone_number": "248-350-8070",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "604846736",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Lakeland Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Southfield, MI
- Laila Staffing & Management Services Inc
- Laina Feinstein MD PC
- Lake Mi Mobile Doctors, P.C.
- Lake Mi Mobile Doctors, P.C.
- Lakeland Neuro Care Center Limited PTR
- Lakeside Transport Group, Inc
- Lakeview Family Dental - Southfield, PLLC
- Lakeview Podiatry Assoc P C
- Lakewood Medical Center Inc
- Mark Stanley Lakier, MSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.