Heroes Nation, LC

Primary specialty

SpecialistTaxonomy code 174400000X

License

2878507 Issued in MI

Legal business name

HEROES NATION, LC

Practice address

18472 Mack Ave
Grosse Pointe Farms, MI 48236-3254

Phone

(313) 643-7925

NPI assigned

Mar 2, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Michael Pellerito Jr., PHD OTRL CDI

Title

Founder and Chief Consultant

Phone

(313) 643-7925

Specialties & licenses 1

Addresses

Other names 1

• AbilityMart Doing business as

Locations

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

{
    "created_epoch": "1362182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1780925669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18472 MACK AVE",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482363222",
            "telephone_number": "313-643-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18472 MACK AVE",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482363254",
            "telephone_number": "313-643-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEROES NATION, LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-02",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "PELLERITO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "FOUNDER AND CHIEF CONSULTANT",
        "authorized_official_telephone_number": "313-643-7925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHD OTRL CDI"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "2878507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AbilityMart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Grosse Pointe Farms, MI
• Providers in Grosse Pointe Farms, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.