Organization Active NPI

Integrated Day Services and Rehabilitation LLC

  • Clinical Social Worker
  • Royal Oak, MI
National Provider Identifier
1881233823
Registry record updated Dec 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
INTEGRATED DAY SERVICES AND REHABILITATION LLC
Practice address
627 E 11 Mile Rd Ste 105
Royal Oak, MI 48067-1961
Phone
(248) 850-7628
NPI assigned
Dec 21, 2019
Last updated
Dec 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2019

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

Authorized official

Name
Wendy Hooker
Title
Ceo
Phone
(248) 850-7628

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

627 E 11 Mile Rd Ste 105
Royal Oak, MI 48067-1961

Mailing address

627 E 11 Mile Rd Ste 105
Royal Oak, MI 48067-1961
Phone (248) 850-7628

National Provider Directory

National Provider Directory

Locations

627 E 11 Mile Rd
Ste 105
Royal Oak, MI 48067
Phone (248) 850-7628

NPI Registry JSON

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

{
    "created_epoch": "1576886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576886400000",
    "number": "1881233823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 E 11 MILE RD STE 105",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671961",
            "telephone_number": "248-850-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 E 11 MILE RD STE 105",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671961",
            "telephone_number": "248-850-7628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED DAY SERVICES AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-21",
        "last_updated": "2019-12-21",
        "certification_date": "2019-12-21",
        "status": "A",
        "authorized_official_last_name": "HOOKER",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-850-7628"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.