Organization Active NPI

Neulife Rehabilitation of Michigan, Inc.

  • Rehabilitation Clinic/Center
  • Troy, MI
National Provider Identifier
1972390524
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
NEULIFE REHABILITATION OF MICHIGAN, INC.
Practice address
1409 Allen Dr Ste G
Troy, MI 48083-4003
Phone
(586) 300-6338
NPI assigned
Apr 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Authorized official

Name
Patrick G Kelley
Title
Ceo
Phone
(586) 300-5866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

1409 Allen Dr Ste G
Troy, MI 48083-4003

Mailing address

189 Adam Shepherd Parkway, Suite 17
PMB #280
Shep, KY 40165
Phone (586) 300-6338

National Provider Directory

National Provider Directory
Tax ID family
Neulife Rehabilitation of Michigan Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1972390524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 ADAM SHEPHERD PARKWAY, SUITE 17",
            "address_2": "PMB #280",
            "city": "SHEP",
            "state": "KY",
            "postal_code": "40165",
            "telephone_number": "586-300-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 ALLEN DR STE G",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480834003",
            "telephone_number": "586-300-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEULIFE REHABILITATION OF MICHIGAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-24",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "586-300-5866"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.