Mindmingle LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

MINDMINGLE LLC

Practice address

675 E Square Lake Rd
Troy, MI 48085-3169

Phone

(734) 536-8434

Fax

(947) 282-8950

NPI assigned

Apr 17, 2019

Organization subpart

No

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

Authorized official

Name

Candice Amanda Kayal

Title

Manager

Phone

(734) 536-8434

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555459200000",
    "number": "1942863824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26250 NORTHWESTERN HWY STE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763903",
            "telephone_number": "734-536-8434",
            "fax_number": "947-282-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 E SQUARE LAKE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480853169",
            "telephone_number": "734-536-8434",
            "fax_number": "947-282-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDMINGLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-04-17",
        "status": "A",
        "authorized_official_last_name": "KAYAL",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "AMANDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "734-536-8434"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Troy, MI
• Providers in Troy, MI by specialty
• Adult Day Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.