Active NPI
Customized Health Solutions, LLC
- Health Service Clinic/Center
- Royal Oak, MI
National Provider Identifier
1831475128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.