Active NPI
Senior Healthcare Network PLLC
- Community/Behavioral Health Agency
- Clinton Township, MI
National Provider Identifier
1851833446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 6801089610
- Legal business name
- SENIOR HEALTHCARE NETWORK PLLC
- Practice address
- 41025 Vista Woods Way
Clinton Township, MI 48038-4536 - Phone
- (248) 379-2422
- NPI assigned
- Nov 14, 2016
- 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
- Tina King, LMSW
- Title
- Ceo
- Phone
- (586) 243-9898
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 6801089610 | MI | Primary |
Addresses
Primary practice location
41025 Vista Woods Way
Clinton Township, MI 48038-4536
Mailing address
41025 Vista Woods Way
Clinton Township, MI 48038-4536
Phone (248) 379-2422
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1479081600000",
"number": "1851833446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41025 VISTA WOODS WAY",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480384536",
"telephone_number": "248-379-2422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41025 VISTA WOODS WAY",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480384536",
"telephone_number": "248-379-2422"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIOR HEALTHCARE NETWORK PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-14",
"last_updated": "2016-11-14",
"status": "A",
"authorized_official_last_name": "KING",
"authorized_official_first_name": "TINA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "586-243-9898",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MI",
"license": "6801089610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.