Timeless Treasure Village

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

TIMELESS TREASURE VILLAGE

Practice address

23636 Michigan Ave # 488
Dearborn, MI 48124-1910

Phone

(313) 768-4084

NPI assigned

Apr 8, 2015

Organization subpart

No

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

Authorized official

Name

Louis Corneluis Brooks I

Title

Chief Executive

Phone

(313) 768-4048

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428451200000",
    "number": "1801282637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23636 MICHIGAN AVE # 488",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241910",
            "telephone_number": "313-523-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23636 MICHIGAN AVE # 488",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241910",
            "telephone_number": "313-768-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMELESS TREASURE VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-08",
        "last_updated": "2015-04-08",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "CORNELUIS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE",
        "authorized_official_telephone_number": "313-768-4048",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Marie Tierney
• Tanya Dechantel Tietema, MA, LLP
• Craig D'Andre Tiggle
• Stacey Elizabeth Tilbury, NNP
• Sereen Timani, RNHP
• Karen Timm-Lenning, PT, DPT
• Lindsay Antoinette Timmerman
• Patrice Mernette Tinnon
• Maralette Marie Tipton
• James Robert Tisius III, M.D.

• Health Maintenance Organization in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Health Maintenance Organization in Michigan

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