Organization Active NPI

Preserve Independence

  • Adult Mental Health Clinic/Center
  • Warren, MI
National Provider Identifier
1831658541
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
PRESERVE INDEPENDENCE
Practice address
11884 E 10 Mile Rd
Warren, MI 48089-3901
Phone
(586) 872-5759
NPI assigned
Mar 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Authorized official

Name
Nicole Jones
Title
Ceo
Phone
(586) 872-5759

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

11884 E 10 Mile Rd
Warren, MI 48089-3901

Mailing address

11884 E 10 Mile Rd
Warren, MI 48089-3901

National Provider Directory

National Provider Directory

Locations

11884 E 10 Mile Rd
Warren, MI 48089
Phone (586) 745-1752

25191 Hoover Rd
Ste 156
Warren, MI 48089
Phone (586) 806-6641

NPI Registry JSON

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1831658541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11884 E 10 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480893901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11884 E 10 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480893901",
            "telephone_number": "586-872-5759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESERVE INDEPENDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "586-872-5759"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.