Active NPI
Priority Health Services Inc.
- Home Health Agency
- Warren, MI
National Provider Identifier
1922110519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PRIORITY HEALTH SERVICES INC.
- Practice address
- 11455 E 13 Mile Rd
Suite 201
Warren, MI 48093-2502 - Phone
- (586) 979-2267
- Fax
- (586) 979-1185
- NPI assigned
- Aug 31, 2006
- 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
- Susan Gough, RN BSN
- Title
- President
- Phone
- (586) 979-2267
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
11455 E 13 Mile Rd
Suite 201
Warren, MI 48093-2502
Mailing address
11455 E 13 Mile Rd
Suite 201
Warren, MI 48093-2502
Phone (586) 979-2267
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119222 | Other | MI | GREAT LAKES HEALTH PLAN |
| 61308 | Other | MI | OMNI CARE |
| 3288397 | Other | MI | MOLINA HEALTHCARE OF MICH |
| 000000003584 | Other | MI | CAPE MEDICAL HMO |
| 008524 | Other | MI | MIDWEST HEALTH PLAN |
| 21256 | Other | MI | HEALTH PLAN OF MICHIGAN |
National Provider Directory
National Provider DirectoryLocations
11455 E 13 Mile Rd
Ste 201
Warren, MI 48093
Phone (586) 979-2267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1922110519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11455 E 13 MILE RD",
"address_2": "SUITE 201",
"city": "WARREN",
"state": "MI",
"postal_code": "480932502",
"telephone_number": "586-979-2267",
"fax_number": "586-979-1185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11455 E 13 MILE RD",
"address_2": "SUITE 201",
"city": "WARREN",
"state": "MI",
"postal_code": "480932502",
"telephone_number": "586-979-2267",
"fax_number": "586-979-1185"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIORITY HEALTH SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GOUGH",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "586-979-2267",
"authorized_official_credential": "RN BSN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT LAKES HEALTH PLAN",
"identifier": "119222",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OMNI CARE",
"identifier": "61308",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA HEALTHCARE OF MICH",
"identifier": "3288397",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPE MEDICAL HMO",
"identifier": "000000003584",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDWEST HEALTH PLAN",
"identifier": "008524",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLAN OF MICHIGAN",
"identifier": "21256",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.