NPIMap

Organization Active NPI

Life Enhancement Center, PLLC

  • Specialist
  • Novi, MI
National Provider Identifier
1992086615
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
5101013168 Issued in MI
Legal business name
LIFE ENHANCEMENT CENTER, PLLC
Practice address
28175 Haggerty Rd
Suite 144
Novi, MI 48377-2903
Phone
(877) 824-7067
NPI assigned
Sep 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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

Authorized official

Name
Dr. Nina Rehman, D.O.
Title
President
Phone
(877) 824-7067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 5101013168 MI Primary

Addresses

Primary practice location

28175 Haggerty Rd
Suite 144
Novi, MI 48377-2903

Mailing address

2026 Applewood Dr
Troy, MI 48085-7032
Phone (877) 824-7067

Other names 1

  • BodyLogicMD of Detroit Doing business as

National Provider Directory

National Provider Directory

Locations

28175 Haggerty Rd
Ste 144
Novi, MI 48377
Phone (877) 824-7067

NPI Registry JSON

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315440000000",
    "number": "1992086615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2026 APPLEWOOD DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480857032",
            "telephone_number": "877-824-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28175 HAGGERTY RD",
            "address_2": "SUITE 144",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772903",
            "telephone_number": "877-824-7067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE ENHANCEMENT CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-08",
        "last_updated": "2011-09-08",
        "status": "A",
        "authorized_official_last_name": "REHMAN",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-824-7067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "5101013168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BodyLogicMD of Detroit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; 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.