Organization Active NPI

Pada

  • Home Health Agency
  • Southfield, MI
National Provider Identifier
1770918641
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Sep 10, 2013

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)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.