Organization Active NPI

Living Brave Through Breast Cancer

  • Home Health Agency
  • Southfield, MI
National Provider Identifier
1831939347
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LIVING BRAVE THROUGH BREAST CANCER
Practice address
16051 Pennsylvania St
Southfield, MI 48075-6302
Phone
(248) 212-0888
Fax
(248) 856-0600
NPI assigned
May 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Authorized official

Name
Orzella RandleNPI 1255266359
Title
Ceo
Phone
(248) 212-0888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

16051 Pennsylvania St
Southfield, MI 48075-6302

Mailing address

16051 Pennsylvania St
Southfield, MI 48075-6302
Phone (248) 212-0888

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1831939347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16051 PENNSYLVANIA ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480756302",
            "telephone_number": "248-212-0888",
            "fax_number": "248-856-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16051 PENNSYLVANIA ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480756302",
            "telephone_number": "248-212-0888",
            "fax_number": "248-856-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING BRAVE THROUGH BREAST CANCER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "RANDLE",
        "authorized_official_first_name": "ORZELLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-212-0888"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.