Provider Wellness Group, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROVIDER WELLNESS GROUP, LLC

Practice address

26105 Orchard Lake Rd
Suite 105
Farmington Hills, MI 48334-4576

Phone

(248) 613-7622

Fax

(248) 477-5552

NPI assigned

Nov 17, 2014

Last updated

Nov 17, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Navid Sayed

Title

Ceo

Phone

(248) 613-7622

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1780080861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26105 ORCHARD LAKE RD",
            "address_2": "SUITE 105",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483344576",
            "telephone_number": "248-613-7622",
            "fax_number": "248-477-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26105 ORCHARD LAKE RD",
            "address_2": "SUITE 105",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483344576",
            "telephone_number": "248-613-7622",
            "fax_number": "248-477-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDER WELLNESS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "SAYED",
        "authorized_official_first_name": "NAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-613-7622"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Proudlock
• Lindsay Proulx
• Amanda Provencher
• Tara Provencher
• Provider Services Network LLC
• Jeffrey Louis Provizer, DO
• Kari K Provizer, LMSW, ACSW
• Noah Provizer, DDS
• Sebra Provost
• Mechele Prowell

• Home Health Agency in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.