Individual provider Active NPI

Zina Alsalik

  • Physical Disabilities Residential Treatment Facility
  • Dearborn, MI
National Provider Identifier
1962879759
Registry record updated Aug 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
A424982014731 Issued in MI
Practice address
19230 Ford Rd
Apt 710
Dearborn, MI 48128-2000
Phone
(313) 623-2992
NPI assigned
Aug 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X A424982014731 MI Primary

Addresses

Primary practice location

19230 Ford Rd
Apt 710
Dearborn, MI 48128-2000

Mailing address

18050 Outer Dr
Dearborn, MI 48128-1335
Phone (313) 623-2992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A424982014731MIMDPhysical Disabilities Residential Treatment Facility

NPI Registry JSON

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440633600000",
    "number": "1962879759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18050 OUTER DR",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281335",
            "telephone_number": "313-623-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19230 FORD RD",
            "address_2": "APT 710",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481282000",
            "telephone_number": "313-623-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSALIK",
        "first_name": "ZINA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-27",
        "last_updated": "2015-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "MI",
            "license": "A424982014731",
            "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 Aug 27, 2015; 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.