Sophia Lorraine Anderson

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

A536772546878 Issued in MI

Practice address

22828 Gaukler St
22828 Gaukler Street
Saint Clair Shores, MI 48080-2543

Phone

(586) 944-0020

NPI assigned

May 18, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431907200000",
    "number": "1992183388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22828 GAUKLER ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802543",
            "telephone_number": "586-944-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22828 GAUKLER ST",
            "address_2": "22828 GAUKLER STREET",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802543",
            "telephone_number": "586-944-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SOPHIA",
        "middle_name": "LORRAINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-18",
        "last_updated": "2015-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MI",
            "license": "A536772546878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amore Life Legacy LLC
• Anchor Point Therapy Group LLC
• Anchored Care PLLC
• Tara Anderman, LMSW
• Carrie L Anderson
• Jessica Andreasen, LMSW
• Ann Cook Center (Ann Cook Homes)
• Ann Cook Dialysis Center, LLC
• Anne White MD PLLC (St Clair Allergy and Asthma Center PLLC Poic)
• Anslee, LLC (American Sleep Disorder Institute)

• Adult Day Care Clinic/Center in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Adult Day Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.