RD SENIOR CARE SERVICES PC NPI 1336188101

NPI Information

  • NPI: 1336188101
  • Provider Name: RD SENIOR CARE SERVICES PC
  • Classification: Clinical Nurse Specialist - 364SG0600X
  • Specialization: Gerontology
  • Entity Type: Organization
  • Address: 1157 UNION LAKE RD
    WHITE LAKE, MI
    ZIP 48386
  • Phone: (248) 363-4143

Map and Directions

Get Directions

NPI Details

RD SENIOR CARE SERVICES PC is a gerontology clinical nurse specialist in White Lake, MI. RD SENIOR CARE SERVICES PC NPI is 1336188101. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1157 UNION LAKE RD
WHITE LAKE, MI
ZIP 48386-348
Phone: (248) 363-4143
Fax: (248) 363-2160

The provider's authorized official is M Michele Heidenreich .
The authorized official title is President and has the following contact phone number (248) 363-4143.

The enumeration date for this NPI number is 6/6/2006 and was last updated on 9/11/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0805XPsychiatry & NeurologyGeriatric PsychiatryNo
2363AM0700XPhysician AssistantMedicalNo
3103TC0700XPsychologistClinicalNo
4364SG0600XClinical Nurse SpecialistGerontologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10F31774OTHERMICHIGANBCBSM
24620793MEDICAIDMICHIGAN
34525417MEDICAIDMICHIGAN
44832042MEDICAIDMICHIGAN
54588275MEDICAIDMICHIGAN

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI