1841575891 NPI number — HAZY MINDFUL CARE GIVING AGENCY INC

Table of content: GEORGIA ROSE WARMBEIN PHARMD (NPI 1215828363)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841575891 NPI number — HAZY MINDFUL CARE GIVING AGENCY INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HAZY MINDFUL CARE GIVING AGENCY INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841575891
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/29/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
21700 GREENFIELD
Provider Second Line Business Mailing Address:
STE 264
Provider Business Mailing Address City Name:
OAKPARK
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48237
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
248-850-7110
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
21700 GREENFIELD
Provider Second Line Business Practice Location Address:
STE 264
Provider Business Practice Location Address City Name:
OAKPARK
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48237
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-850-7110
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/20/2011

Additional Information

Authorized Official

Authorized Official Last Name:
SORONNADI
Authorized Official First Name:
CHINYERE
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
248-850-7110

Provider Taxonomy Codes

  • Taxonomy code: 251G00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2026 www.npivalidator.com