Prevail Rehab Center, Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PREVAIL REHAB CENTER, INC

Practice address

14999 Telegraph Rd
Redford, MI 48239-3456

Phone

(313) 535-3500

Fax

(313) 766-4080

NPI assigned

Apr 26, 2018

Organization subpart

No

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

Authorized official

Name

Callista Ugorji

Title

Administrator

Phone

(313) 535-3500

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524700800000",
    "number": "1851889794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14999 TELEGRAPH RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482393456",
            "telephone_number": "313-535-3500",
            "fax_number": "313-766-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14999 TELEGRAPH RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482393456",
            "telephone_number": "313-535-3500",
            "fax_number": "313-766-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVAIL REHAB CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-26",
        "last_updated": "2018-04-26",
        "status": "A",
        "authorized_official_last_name": "UGORJI",
        "authorized_official_first_name": "CALLISTA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "313-535-3500"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Nichole Poulos, FNP-C
• Precare Pharmacy LLC
• Premier Cure LLC (premier cure pharmacy)
• Tiffany Alisha Presberry, L.L.M.S.W.
• Presbyterian Village Redford (The Village of Redford)
• Primecare Medical Centers of Michigan, P.L.L.C.
• Ruth Prince
• Priority One Urgent Care Centers PLLC
• Prompt Medical Equipment and Supplies Inc
• Prophetic Solutions Professional Counseling, PLLC

• Multi-Specialty Clinic/Center in Redford, MI
• Providers in Redford, MI by specialty
• Multi-Specialty Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.