Organization Active NPI

Michigan Community Wellness Vna, LLC

  • Nursing Care Agency
  • Bingham Farms, MI
National Provider Identifier
1992040166
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
MICHIGAN COMMUNITY WELLNESS VNA, LLC
Practice address
30800 Telegraph Rd.
Suite 1728
Bingham Farms, MI 48025
Phone
(248) 967-1440
Fax
(248) 967-8315
NPI assigned
Nov 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Authorized official

Name
Tina Griffith, BSN, RN
Title
Coo
Phone
(248) 967-1440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

30800 Telegraph Rd.
Suite 1728
Bingham Farms, MI 48025

Mailing address

30800 Telegraph Rd Ste 1728
Bingham Farms, MI 48025-5703
Phone (248) 967-1440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130429000074 MI Part B Supplier - Mass Immunization (Roster Biller Only) 3173769684 Practice locations: Bingham Farms, MI

National Provider Directory

National Provider Directory

Locations

25990 Greenfield Rd Ste 600
Oak Park, MI 48237

2140 University Park Dr
Okemos, MI 48864

NPI Registry JSON

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1992040166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30800 TELEGRAPH RD STE 1728",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480255703",
            "telephone_number": "248-967-1440",
            "fax_number": "248-967-8315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30800 TELEGRAPH RD.",
            "address_2": "SUITE 1728",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "48025",
            "telephone_number": "248-967-1440",
            "fax_number": "248-967-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN COMMUNITY WELLNESS VNA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "248-967-1440",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.