Organization Active NPI

Nivya LLC

  • Home Health Agency
  • Madison Heights, MI
National Provider Identifier
1831395789
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NIVYA LLC
Practice address
28091 Dequindre Rd
Suite 207
Madison Heights, MI 48071-3047
Phone
(248) 399-5151
Fax
(248) 399-5153
NPI assigned
Jun 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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

Authorized official

Name
Cherry Carbonell
Title
President
Phone
(586) 202-3329

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X MI Primary

Addresses

Primary practice location

28091 Dequindre Rd
Suite 207
Madison Heights, MI 48071-3047

Mailing address

28091 Dequindre Rd
Suite 207
Madison Heights, MI 48071-3047
Phone (248) 399-5151

Other identifiers 1

IdentifierTypeStateIssuer
23-7739OtherMICCN

National Provider Directory

National Provider Directory

Locations

28091 Dequindre Rd
Ste 207
Madison Heights, MI 48071
Phone (248) 399-5151

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1831395789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28091 DEQUINDRE RD",
            "address_2": "SUITE 207",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713047",
            "telephone_number": "248-399-5151",
            "fax_number": "248-399-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28091 DEQUINDRE RD",
            "address_2": "SUITE 207",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713047",
            "telephone_number": "248-399-5151",
            "fax_number": "248-399-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIVYA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "CARBONELL",
        "authorized_official_first_name": "CHERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-202-3329"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN",
            "identifier": "23-7739",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.