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FIRST DOOR LLC NPI 1750832564


NPI Information

NPI: 1750832564
Provider Name: FIRST DOOR, LLC
Classification: Custodial Care Facility - 311Z00000X
Entity Type: Organization
Address:
25584 W 10 MILE RD
SOUTHFIELD, MI
ZIP 48033
Phone: (248) 877-8401
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FIRST DOOR, LLC is a custodial care facility in Southfield, MI. The provider is a facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. FIRST DOOR, LLC NPI is 1750832564. The provider is registered as an organization entity type.

The provider's business location address is:

25584 W 10 MILE RD
SOUTHFIELD, MI
ZIP 48033-826
Phone: (248) 877-8401
Fax: (313) 454-3102

The provider's authorized official is Modeira Johnson .
The authorized official title is Owner/ceo/president and has the following contact phone number (248) 877-8401.

The enumeration date for this NPI number is 10/17/2016 and was last updated on 11/13/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320700000XResidential Treatment Facility, Physical DisabilitiesAS630369663MICHIGANNo
2261QR0400XClinic/CenterRehabilitationNo
3320800000XCommunity Based Residential Treatment Facility, Mental IllnessAS630369663MICHIGANNo
4385H00000XRespite CareAS630369663MICHIGANNo
5261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)No
6311ZA0620XCustodial Care FacilityAdult Care HomeAS630369663MICHIGANNo
7314000000XSkilled Nursing FacilityNo
8311Z00000XCustodial Care FacilityAS630369663MICHIGANYes

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: 4/28/2024

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