Seasons of Change Corf, LLC

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

SEASONS OF CHANGE CORF, LLC

Practice address

27200 Lahser Rd
Southfield, MI 48034-2137

Phone

(248) 208-9215

NPI assigned

Mar 27, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Bruce McCollum

Title

Authorized Official

Phone

(734) 837-1048

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tessy C Jenkins, M.D.

  • Neurology Physician
  • Southfield, MI
  • NPI 1548269897
  NPD

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

{
    "created_epoch": "1648339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648339200000",
    "number": "1992455414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27200 LAHSER RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480342137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27200 LAHSER RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480342137",
            "telephone_number": "248-208-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASONS OF CHANGE CORF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-27",
        "last_updated": "2022-03-27",
        "certification_date": "2022-03-27",
        "status": "A",
        "authorized_official_last_name": "MCCOLLUM",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "734-837-1048",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Samara Sears
• Seasons of Change
• Second Chance Counseling Services
• Rachel Nechama Secunda, PA-C
• Lilian Sedor
• Deborah E Sedore
• See Inc

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Southfield, MI
• Providers in Southfield, MI by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2022; 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.