Organization Active NPI

Divine Care Rehab Inc

  • Physical Therapy Clinic/Center
  • Dearborn, MI
National Provider Identifier
1881258374
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
DIVINE CARE REHAB INC
Practice address
25001 Michigan Ave
Dearborn, MI 48124-1762
Phone
(313) 334-6611
Fax
(313) 447-3083
NPI assigned
Apr 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Authorized official

Name
Mr. Manish K PatelNPI 1962678870
Title
President
Phone
(248) 980-1776

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
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

25001 Michigan Ave
Dearborn, MI 48124-1762

Mailing address

28157 Dequindre Rd Ste a
Madison Heights, MI 48071-3046
Phone (248) 434-8478

National Provider Directory

National Provider Directory

Locations

25001 Michigan Ave
Dearborn, MI 48124
Phone (313) 334-6611

28157 Dequindre Rd
Ste A
Madison Heights, MI 48071
Phone (248) 292-8466

Practitioners & affiliated clinicians

Practitioners 3

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": "1556582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556582400000",
    "number": "1881258374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28157 DEQUINDRE RD STE A",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713046",
            "telephone_number": "248-434-8478",
            "fax_number": "586-314-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25001 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241762",
            "telephone_number": "313-334-6611",
            "fax_number": "313-447-3083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE CARE REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-30",
        "last_updated": "2019-04-30",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MANISH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-980-1776",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.