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RIVERVIEW ADULT DAY & HEALTH CENTER INC. NPI 1053744300


NPI Information

NPI: 1053744300
Provider Name: RIVERVIEW ADULT DAY & HEALTH CENTER INC.
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

CLIA Number: 23D1093972

Address:
18712 QUARRY ST
RIVERVIEW, MI
ZIP 48193
Phone: (734) 282-6070
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RIVERVIEW ADULT DAY & HEALTH CENTER INC. is an adult day care clinic center in Riverview, MI. RIVERVIEW ADULT DAY & HEALTH CENTER INC. NPI is 1053744300. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

18712 QUARRY ST
RIVERVIEW, MI
ZIP 48193-527
Phone: (734) 282-6070
Fax: (734) 225-7355

The provider's authorized official is Charles Milton Jackson .
The authorized official title is Owner and has the following contact phone number (734) 282-6070.

The CLIA number assigned to this NPI record is 23D1093972 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/9/2013 and was last updated on 2/3/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalNo
2261QA0600XClinic/CenterAdult Day Care6802063993MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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