NPIMap

Organization Active NPI

Personalized Nursing Light House, Inc.

  • Substance Abuse Rehabilitation Facility
  • Dearborn Heights, MI
National Provider Identifier
1942522818
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
823088 Issued in MI
Legal business name
PERSONALIZED NURSING LIGHT HOUSE, INC.
Practice address
7430 North Inkster Road
Dearborn Heights, MI 48127
Phone
(313) 274-7879
Fax
(313) 274-7933
NPI assigned
Feb 19, 2010
Last updated
Feb 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Authorized official

Name
Mr. Joseph Paliwoda, MBA, CAC-M, CCS-M
Title
Ceo
Phone
(734) 451-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 823088 MI Primary

Addresses

Primary practice location

7430 North Inkster Road
Dearborn Heights, MI 48127

Mailing address

575 S Main St
Suite 6
Plymouth, MI 48170-1778
Phone (734) 451-7800

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1942522818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 S MAIN ST",
            "address_2": "SUITE 6",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701778",
            "telephone_number": "734-451-7800",
            "fax_number": "734-451-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 NORTH INKSTER ROAD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "48127",
            "telephone_number": "313-274-7879",
            "fax_number": "313-274-7933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED NURSING LIGHT HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-19",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "PALIWODA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "734-451-7800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA, CAC-M, CCS-M"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MI",
            "license": "823088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; 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.