PHASE ONE REHAB, LLC (NPI# 1326311135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326311135 |
| Entity Type | Organization |
| Organization Name | PHASE ONE REHAB, LLC |
| Practice Address |
34119 W 12 Mile Rd Ste 160 Farmington Hills MI 48331-3371 |
| Mailing Address |
29155 Northwestern Hwy Suite 727 Southfield MI 48034-1011 |
| Practice Telephone | 2487335022 |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2019-10-18 |
| Authorized Official Name | MRS. KARILYN R LYTLE (PRESIDENT) |
| Authorized Official Telephone | 2487335022 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 31500 W 13 Mile Rd, Suite 130-b, Farmington Hills, MI 483342164 | 2487335022 |
| Street Address |
34119 W 12 MILE RD STE 160 |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48331-3371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700352804 | Lori A Galicki | Occupational Therapist | 3405 W 12 Mile Rd. Suite 200, Farmington Hills, MI 48331 | 2018-10-17 |
| 1700372877 | Brooke Breann Reed | Speech-Language Pathologist | 34505 W 12 Mile Rd Ste 210, Farmington Hills, MI 48331 | 2018-07-02 |
| 1215473848 | Devon Caroline Welling | Advanced Practice Midwife | 31000 Country Bluff, Farmington Hills, MI 48331 | 2017-01-06 |
| 1780040246 | Pamela Moraa Obare | Nurse Practitioner | 36839 Greenspring St, Farmington Hills, MI 48331 | 2016-01-13 |
| 1427429844 | Counseling for The Brain, Body and Spirit, LLC | Community/Behavioral Health | 36510 Twelve Mile Rd, Farmington Hills, MI 48331 | 2015-10-12 |
| 1538548458 | Shavohn Rowser | Durable Medical Equipment & Medical Supplies | 38657 Lancaster Dr, Farmington Hills, MI 48331 | 2015-05-26 |
| 1851727697 | Sidney Lawrence Stone | Ophthalmology | 28853 Nottoway Drive, Farmington Hills, MI 48331 | 2013-09-25 |
| 1659621159 | Jacqueline Kiernan | Physical Therapist | 27240 Haggarty, Suite E15, Farmington Hills, MI 48331 | 2012-09-12 |
| 1770876476 | Elizabeth Anne Clancy | Counselor | 37875 12 Mile Rd, Farmington Hill, MI 48331 | 2011-05-27 |
| 1902197833 | Carla's Companionship & Care LLC | Home Health | 31145 Floralview Dr. S. #207, Farmington Hills, MI 48331 | 2011-04-26 |
| Find all providers in zip 48331 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720645278 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 32395 Northwestern Hwy, Farmington Hills, MI 48334-1535 | 2019-05-21 |
| 1912563677 | Cork Medical LLC | Durable Medical Equipment & Medical Supplies | 24077 Research Dr, Farmington Hills, MI 48335-2632 | 2019-05-17 |
| 1073076659 | Audio Visual Central LLC | Durable Medical Equipment & Medical Supplies | 24776 Crestview Ct, Farmington Hills, MI 48335-1506 | 2019-04-10 |
| 1134694029 | Homepro Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 30180 Orchard Lake Rd Ste 150, Farmington Hills, MI 48334-2266 | 2018-10-08 |
| 1730554205 | Detroit Infant Health | Durable Medical Equipment & Medical Supplies | 30201 Orchard Lake Rd Bldg 112, Farmington Hills, MI 48334-2277 | 2015-12-09 |
| 1538548458 | Shavohn Rowser | Durable Medical Equipment & Medical Supplies | 38657 Lancaster Dr, Farmington Hills, MI 48331 | 2015-05-26 |
| 1740531441 | Gate Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 31355 W 13 Mile Rd, Suite 200, Farmington Hills, MI 48334-2286 | 2012-09-21 |
| 1790049468 | Crow Creek Therapeutics, LLC | Durable Medical Equipment & Medical Supplies | 24619 Halsted Rd, Farmington Hills, MI 48335-1611 | 2012-06-27 |
| 1730456278 | Flexpro LLC | Durable Medical Equipment & Medical Supplies | 23889 Freeway Park Dr, Farmington Hills, MI 48335-2815 | 2011-11-29 |
| 1750616405 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 37724 Hills Tech Dr, Farmington Hills, MI 48331-3416 | 2009-10-14 |
| Find all providers in FARMINGTON HILLS | ||||
| City | FARMINGTON HILLS |
| Zip Code | 48331 |
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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.