BLUE LIGHT INC.


Address: 26105 Orchard Lake Rd, Suite #208, Farmington Hills, MI 48334-4576
Phone: 2486153042

BLUE LIGHT INC. (NPI# 1497168215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497168215
Entity Type Organization
Organization Name BLUE LIGHT INC.
Practice Address 26105 Orchard Lake Rd
Suite #208
Farmington Hills
MI 48334-4576
Practice Telephone 2486153042
Practice Fax Number 2486153047
Mailing Telephone 2486153042
Mailing Fax Number 2486153047
Enumeration Date 2014-06-09
Last Update Date 2014-06-09
Authorized Official Name MS. PHYLLIS CLARK (EXECUTIVE DIRECTOR)
Authorized Official Telephone 3139994890
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD1600X Clinic/Center
Specialization: Developmental Disabilities
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MI 1693530 05

Office Location

Street Address 26105 ORCHARD LAKE RD
SUITE #208
City FARMINGTON HILLS
State MI
Zip Code 48334-4576

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679538300 Howard Leslie Kahn Psychologist 26105 Orchard Lake Rd, Suite 107, Farmington Hills, MI 48334-4576 2006-04-18
1730729930 Allison Shapiro Cardew Psychologist 26105 Orchard Lake Rd, Farmington Hills, MI 48334-4576 2020-01-15
1558832204 Sally Jakeway Speech-Language Pathologist 26105 Orchard Lake Rd, Farmington Hills, MI 48334-4576 2018-12-06
1881178150 Carmita Jefferson Counselor 26105 Orchard Lake Rd, Farmington Hills, MI 48334-4576 2018-09-21
1851830970 Timothy Granzotto Counselor 26105 Orchard Lake Rd, Suite 309, Farmington Hills, MI 48334-4576 2017-02-22
1609314947 Vicki Dandridge Counselor 26105 Orchard Lake Rd, 309, Farmington Hills, MI 48334-4576 2017-02-07
1366995623 Soul Compass LLC Psychologist 26105 Orchard Lake Rd, Suite 207, Farmington Hills, MI 48334-4576 2016-08-03
1942656277 Richard Fields Counselor 26105 Orchard Lake Rd, 309, Farmington Hills, MI 48334-4576 2016-05-05
1134590268 Tiffany Niepokuj Counselor 26105 Orchard Lake Rd, Suite 309, Farmington Hills, MI 48334-4576 2015-10-15
1780080861 Provider Wellness Group, LLC Nursing Care 26105 Orchard Lake Rd, Suite 105, Farmington Hills, MI 48334-4576 2014-11-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588264535 Kiah Bradley Behavior Technician 2777 Inkster Rd Suite 100, Farmington Hills, MI 48334 2020-10-29
1417557307 Carsen D Dresbach Behavior Technician 2777 Inster Road Suite 100, Farmington Hills, MI 48334 2020-10-29
1316560303 Amy K Pruneau LLC Psychologist 26755 Middlebelt Rd Ste 140, Farmington Hills, MI 48334 2020-05-25
1366089732 Vian Aljony Dental Hygienist 27273 Arden Park Cir, Farmington Hills, MI 48334 2019-12-04
1699311902 Sandra Zori Pharmacist 27800 Middlebelt Rd, Farmington Hills, MI 48334 2019-11-21
1902450471 Kianna Marie Garcia Behavior Technician 27777 Inkster Rd., Farmington Hills, MI 48334 2019-08-01
1619521176 Samantha Serra Behavior Technician 27777 Inkster Rd Suite 100, Farmington Hills, MI 48334 2019-08-01
1851945398 Kristen Butler Behavior Technician 27777 Inkster Road Suite 100, Farmington Hills, MI 48334 2019-08-01
1104489038 Katherine Kalsow Behavioral Analyst 27777 Inkster Rd. Suite 100, Farmington Hills, MI 48334 2019-04-16
1083178487 Imee Raterta Physical Therapist Ability Works Rehab, 28592 Orchard Lake Rd # 300, Farmington Hills, MI 48334 2019-01-30
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Taxonomy Information

Taxonomy Code 261QD1600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Developmental Disabilities

Taxonomy Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306334115 Endeavor Behavioral Health, LLC Clinic/Center 225 Michigan St. Nw #3520, Grand Rapids, MI 49501-3520 2018-04-26
1578823175 Bertram Haus Clinic/Center 1330 Kenneth St, Burton, MI 48529-2206 2012-05-17
1659536167 O.t. Inc Clinic/Center 2180 Western Meadows Dr, Flushing, MI 48433-9447 2008-07-23
1013087345 Latino Family Services Clinic/Center 3815 W Fort St, Detroit, MI 48216-1652 2006-11-08
1144830217 Milestones Aba Therapy Clinic/Center 7301 Schaefer Rd, Dearborn, MI 48126-4915 2020-08-04
1992286306 Lifelab Kids Foundation Clinic/Center 3178 Hilton Rd, Ferndale, MI 48220-1059 2018-08-23
1407361538 Residential Opportunities, Inc. Clinic/Center 416 Washington St, Three Rivers, MI 49093-1130 2017-12-12
1730694886 Residential Opportunities, Inc. Clinic/Center 1800 S 35th St, Galesburg, MI 49053-9688 2017-12-12
1538674676 Residential Opportunities, Inc. Clinic/Center 9616 Portage Rd, Portage, MI 49002-7257 2017-12-12
1154776201 Center for Exceptional Families Clinic/Center 18501 Rotunda Dr Ste 200, Dearborn, MI 48124-3891 2016-04-26
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Competitor

Search similar providers

City FARMINGTON HILLS
Zip Code 48334

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Dataset Information

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.

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