Active NPI
Pada
- Home Health Agency
- Southfield, MI
National Provider Identifier
1770918641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PADA
- Practice address
- 17500 Northland Park CT
Southfield, MI 48075-4324 - Phone
- (248) 678-3934
- NPI assigned
- Sep 10, 2013
- 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
- Mrs. Patrice Taylor, LBSW, MA, LLP
- Title
- President
- Phone
- (313) 550-5030
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Home Health Agency | 251E00000X | MI | Primary |
Addresses
Primary practice location
17500 Northland Park CT
Southfield, MI 48075-4324
Mailing address
25170 Thorndyke St
Southfield, MI 48033-2941
Phone (248) 678-3934
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1378771200000",
"number": "1770918641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25170 THORNDYKE ST",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480332941",
"telephone_number": "248-678-3934",
"fax_number": "248-678-3934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17500 NORTHLAND PARK CT",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754324",
"telephone_number": "248-678-3934"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PADA",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-10",
"last_updated": "2013-09-10",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "PATRICE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "313-550-5030",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LBSW, MA, LLP"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MI",
"license": null,
"primary": true
}
],
"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 Sep 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.