PREMIER SERVICES OF MICHIGAN LLC (NPI# 1063664563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063664563 |
| Entity Type | Organization |
| Organization Name | PREMIER SERVICES OF MICHIGAN LLC |
| Other Organization Name | PREMIER SERVICES OF MICHIGAN STERLING HEIGHTS |
| Practice Address |
34208 Van Dyke Ave Sterling Heights MI 48312-4647 |
| Mailing Address |
9449 N 90th St Ste 210 Scottsdale AZ 85258-5037 |
| Practice Telephone | 5867586670 |
| Practice Fax Number | 8003779518 |
| Mailing Telephone | 6022488886 |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2020-03-07 |
| Authorized Official Name | TODD STINGLEY (CORPORATE CONTROLLER) |
| Authorized Official Telephone | 6022488886 |
| 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 | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
MI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Premier Care Warren | Doing Business As Name - Organization |
| Premier Services of Michigan Sterling Heights | Doing Business As Name - Organization |
| Street Address |
34208 VAN DYKE AVE |
| City | STERLING HEIGHTS |
| State | MI |
| Zip Code | 48312-4647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339552 | Tressa Ellen Wesserling | Licensed Practical Nurse | 34208 Van Dyke Ave, Sterling Heights, MI 48312-4647 | 2019-11-05 |
| 1295196079 | Lechia A Williams | Registered Nurse | 34208 Van Dyke Ave, Sterling Heights, MI 48312-4647 | 2016-03-08 |
| 1679934426 | Alexis Reamer | Counselor | 34208 Van Dyke Ave, Sterling Heights, MI 48312-4647 | 2016-03-08 |
| 1023479870 | April Thompkins | Registered Nurse | 34208 Van Dyke Ave, Sterling Heights, MI 48312-4647 | 2016-03-08 |
| 1336513498 | Sterling Heights Treatment Services, LLC | Clinic/Center | 34208 Van Dyke Ave, Suite 200, Sterling Heights, MI 48312-4647 | 2015-11-30 |
| 1548548993 | Amanda Matusik | Physician Assistant | 34208 Van Dyke Ave, Sterling Heights, MI 48312-4647 | 2011-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043701287 | Erin Krugel | Physical Therapist | 33464 Schoenherr Rd Ste 100, Sterling Heights, MI 48312 | 2018-05-23 |
| 1124556691 | Roman Novatchinski | Licensed Practical Nurse | 13654 Brougham, Sterling Heights, MI 48312 | 2017-05-30 |
| 1679010763 | Lake City Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 33389 Van Dyke Ave, Sterling Heights, MI 48312 | 2017-01-26 |
| 1598113912 | Joseph Donald Evens | Occupational Therapist | 11635 Filer Drive, Sterling Heights, MI 48312 | 2016-05-26 |
| 1942656855 | Damini Desai | Technician, Other | 38157 Corbett Dr, Sterling Heights, MI 48312 | 2016-05-10 |
| 1891151593 | Your Healing Hands Massage Therapy, LLC | Massage Therapist | 6029 E 14 Mile Rd Ste 200, Sterling Heights, MI 48312 | 2016-01-11 |
| 1033539069 | Macomb County Community Mental Health | Community/Behavioral Health | 6555 15 Mile Road, Sterling Heights, MI 48312 | 2014-04-17 |
| 1467705871 | Julie Anne Hepke | Social Worker | 13213 E. 14 Mile Road, Sterling Heights, MI 48312 | 2012-10-23 |
| 1619226354 | Kimberly Marie Dorband | Physical Therapy Assistant | 6041 15 Mile Road, Sterling Heights, MI 48312 | 2012-09-07 |
| 1477810026 | Frances Sherryl Salvadora Ramos | Physical Therapist | 8170 Crestview Dr Apt 6, Sterling Heights, MI 48312 | 2012-04-20 |
| Find all providers in zip 48312 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336513498 | Sterling Heights Treatment Services, LLC | Clinic/Center | 34208 Van Dyke Ave, Suite 200, Sterling Heights, MI 48312-4647 | 2015-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871099481 | Baymark of Michigan, Inc. | Clinic/Center | 5500 Division Avenue Se, Kentwood, MI 49548 | 2018-04-03 |
| 1952827107 | Nupoint Services LLC | Clinic/Center | 1620 44th Street Se, Grand Rapids, MI 49508 | 2017-08-19 |
| 1881118206 | Harrison Udensi Igwe | Clinic/Center | 522 South Maple Stree, Ann Arbor, MI 48103 | 2017-07-27 |
| 1942675426 | Eastern Clinic Pllc | Clinic/Center | 1555 Eastern Ave Se, Grand Rapids, MI 49507-2055 | 2015-12-09 |
| 1740653641 | Ann Arbor Treatment Services, LLC | Clinic/Center | 4673 Washtenaw Ave, Ann Arbor, MI 48108 | 2015-11-02 |
| 1902284193 | Therapeutics, LLC | Clinic/Center | 50222 Dennis Ct, Wixom, MI 48393-2023 | 2015-05-08 |
| 1578960480 | Changes1, Pllc | Clinic/Center | 19940 Conant, Ste A, B, & C, Detroit, MI 48234-1494 | 2014-11-21 |
| 1669874418 | The Brighton Center, Inc. | Clinic/Center | 2512 Harte Dr, Brighton, MI 48114-7002 | 2014-09-24 |
| 1275969990 | Harriet Alexander | Clinic/Center | 20724 Eureka Rd., Taylor, MI 48180 | 2013-09-26 |
| 1922383397 | Rainbow Center Inc. | Clinic/Center | 20724 Eureka Rd, Taylor, MI 48180-5313 | 2011-10-18 |
| Find all providers with the same taxonomy | ||||
| City | STERLING HEIGHTS |
| Zip Code | 48312 |
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| 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.