Organization Active NPI

Wellness Group Home Care LLC

  • Nursing Facility/Intermediate Care Facility
  • Dearborn Heights, MI
National Provider Identifier
1801233465
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
WELLNESS GROUP HOME CARE LLC
Practice address
26300 Ford Rd Ste 421
Dearborn Heights, MI 48127-2854
Phone
(313) 355-7886
Fax
(313) 427-1448
NPI assigned
May 22, 2013
Last updated
Oct 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2014

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

Authorized official

Name
Mr. Brian Douglas Glover
Title
Ceo
Phone
(248) 247-6717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X Primary

Addresses

Primary practice location

26300 Ford Rd Ste 421
Dearborn Heights, MI 48127-2854

Mailing address

2609 Crooks Rd Ste 242
Troy, MI 48084
Phone (248) 247-6717

National Provider Directory

National Provider Directory

Locations

2609 Crooks Rd
#242
Troy, MI 48084
Phone (248) 247-6717

2609 Crooks Rd
Ste 242
Troy, MI 48084

NPI Registry JSON

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1801233465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 CROOKS RD STE 242",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48084",
            "telephone_number": "248-247-6717",
            "fax_number": "248-247-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26300 FORD RD STE 421",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272854",
            "telephone_number": "313-355-7886",
            "fax_number": "313-427-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS GROUP HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-247-6717",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.