Organization Active NPI

Senior Healthcare Network PLLC

  • Community/Behavioral Health Agency
  • Clinton Township, MI
National Provider Identifier
1851833446
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6801089610 Issued in MI
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

Updated by the provider on Nov 14, 2016

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.