M.O.M

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

230006976540402 Issued in MI

Legal business name

M.O.M

Practice address

9276 Monroe Rd
Lake, MI 48632-9108

Phone

(616) 594-4465

NPI assigned

May 22, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Sylvia Ann Duflo, CNA

Title

Certified Nurse Aide

Phone

(616) 594-4465

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1982964144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9276 MONROE RD",
            "city": "LAKE",
            "state": "MI",
            "postal_code": "486329108",
            "telephone_number": "616-594-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9276 MONROE RD",
            "city": "LAKE",
            "state": "MI",
            "postal_code": "486329108",
            "telephone_number": "616-594-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.O.M",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "DUFLO",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CERTIFIED NURSE AIDE",
        "authorized_official_telephone_number": "616-594-4465",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MI",
            "license": "230006976540402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Care Agency in Lake, MI
• Providers in Lake, MI by specialty
• Nursing Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.