ORTHOPEDIC MEDICAL RECREATION (NPI# 1063857100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063857100 |
| Entity Type | Organization |
| Organization Name | ORTHOPEDIC MEDICAL RECREATION |
| Practice Address |
15600 W 12 Mile Rd Southfield MI 48076-3068 |
| Practice Telephone | 2485958800 |
| Practice Fax Number | 2485958517 |
| Mailing Telephone | 2485958800 |
| Mailing Fax Number | 2485958517 |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2013-05-02 |
| Authorized Official Name | IRIS LENA WINCHESTER (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 2485958800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
| N | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities | ||
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Street Address |
15600 W 12 MILE RD |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48076-3068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609123173 | Iris Lena Winchester | Spec/Tech, Health Info | 15600 W 12 Mile Rd, Southfield, MI 48076-3068 | 2012-08-14 |
| 1538400528 | 12 Mile Rehab LLC | Physical Therapist | 15600 W 12 Mile Rd, Suite A, Southfield, MI 48076-3068 | 2013-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813753 | Elaine Sarah Kahn | Social Worker | 15999 West Twelve Mile Rd, Southfield, MI 48076 | 2020-08-31 |
| 1295353829 | Marian Hannah Ibrahim | Dentist | 19189 W 12 Mile Rd, Lathrup Village, MI 48076 | 2020-07-09 |
| 1699317669 | Meadow Lane Rehabilitative Therapies LLC | Social Worker | 29895 Greenfield Rd., Suite 104b, Southfield, MI 48076 | 2019-10-11 |
| 1760035752 | Taliah Laneice Williams-hunter | Counselor | 30119 Sparkleberry Dr., Southfield, MI 48076 | 2019-07-19 |
| 1386114742 | Mavis Gail Pookrum | Technician | 21732 Colony Park Circle #105, Southfield, MI 48076 | 2018-11-28 |
| 1861962417 | Millennial Infusion Centers Inc | Clinic/Center | 26250 Northwestern Hwy Ste 201, Southfield, MI 48076 | 2018-11-27 |
| 1215429212 | Debra Deanes | Counselor | 30233 Southfiels Rd, 203, Southfield, MI 48076 | 2018-06-05 |
| 1437675758 | Kenneth Gerard Giles | Counselor | 29532 Southfield Rd. Suite 208, Southfield, MI 48076 | 2017-08-17 |
| 1902346836 | Linsk Psychiatry Services P C | Clinic/Center | 21751 W 12 Mile Rd, Suite 205, Southfield, MI 48076 | 2017-02-25 |
| 1023552361 | Massage Serenity | Community/Behavioral Health | 20245 W. 12 Mile Rd, Suite 113, Southfield, MI 48076 | 2016-12-06 |
| Find all providers in zip 48076 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851957096 | Loving Hearts Adult Day Care, LLC | Clinic/Center | 24421 W 9 Mile Rd, Southfield, MI 48033-3976 | 2019-05-14 |
| 1710471115 | Springwell Adult Services Pllc | Clinic/Center | 21122 Indian St, Southfield, MI 48033-3579 | 2018-06-19 |
| 1457881997 | Oakville Care Center LLC | Clinic/Center | 16250 Northland Dr Ste 315, Southfield, MI 48075-5228 | 2017-06-18 |
| 1992163174 | Boscott Homes LLC | Clinic/Center | 21232 Berg Rd, Southfield, MI 48033-6614 | 2016-02-03 |
| 1033597539 | Friends With Solutions LLC | Clinic/Center | 24209 Northwestern Hwy, Suite 100, Southfield, MI 48075-2539 | 2015-05-15 |
| 1609223338 | Mg and Associates Inc | Clinic/Center | 24718 Templar Ave, Southfield, MI 48075-6937 | 2016-05-23 |
| 1083951180 | Orchard Adult Day Care, LLC | Clinic/Center | 17352 W 12 Mile Rd, Suite 210, Southfield, MI 48076-2119 | 2013-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699381699 | Forster Woods Adult Day Services | Clinic/Center | 4656 Meridian Rd, Williamston, MI 48895-9317 | 2020-09-16 |
| 1245874122 | Hannan Center | Clinic/Center | 4750 Woodward Ave, Detroit, MI 48201-1300 | 2019-11-04 |
| 1902448731 | Simeon's Rest Adult Day Program | Clinic/Center | 46500 N Territorial Rd, Plymouth, MI 48170-3066 | 2019-10-14 |
| 1013562677 | Tammy Cowley | Clinic/Center | 6121 S Fitzgerald Ave, Fremont, MI 49412-9120 | 2019-08-09 |
| 1750934345 | Gratitude House | Clinic/Center | 19954 Conant St Ste C, Detroit, MI 48234-1595 | 2019-07-22 |
| 1023670205 | Great Memories Adult Day Care Services Inc. | Clinic/Center | 24863 Eureka Rd, Taylor, MI 48180-5159 | 2019-07-08 |
| 1538721956 | Loving Care Resource Group Inc | Clinic/Center | 10900 Whittier St, Detroit, MI 48224-1639 | 2019-07-05 |
| 1396303483 | Papas Place Adult Day Care LLC | Clinic/Center | 121 W Upton Ave, Reed City, MI 49677-1129 | 2019-06-03 |
| 1336705383 | Global Alliance Corp | Clinic/Center | 20008 Kelly Rd, Harper Woods, MI 48225-1919 | 2019-05-15 |
| 1447816707 | Baseline Human & Educational Services, Inc. | Clinic/Center | 29615 Greening St, Farmington Hills, MI 48334-2245 | 2019-05-13 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHFIELD |
| Zip Code | 48076 |
Please comment or provide details below to improve the information on ORTHOPEDIC MEDICAL RECREATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.