Organization Active NPI

Customized Health Solutions, LLC

  • Health Service Clinic/Center
  • Royal Oak, MI
National Provider Identifier
1831475128
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
CUSTOMIZED HEALTH SOLUTIONS, LLC
Practice address
1015 E Lincoln Ave
Royal Oak, MI 48067-3361
Phone
(248) 353-9460
NPI assigned
Oct 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2015

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

Authorized official

Name
Julie Koning, RD
Title
Owner
Phone
(248) 795-5494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1015 E Lincoln Ave
Royal Oak, MI 48067-3361

Mailing address

PO Box 1547
Royal Oak, MI 48068-1547
Phone (248) 795-5494

National Provider Directory

National Provider Directory

Locations

29877 Telegraph Rd
Ste 303
Southfield, MI 48034
Phone (248) 298-0433

NPI Registry JSON

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447372800000",
    "number": "1831475128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1547",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480681547",
            "telephone_number": "248-795-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 E LINCOLN AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673361",
            "telephone_number": "248-353-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOMIZED HEALTH SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-31",
        "last_updated": "2015-11-13",
        "status": "A",
        "authorized_official_last_name": "KONING",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-795-5494",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.