PEDIATRIC SPECIAL CARE INC. NPI 1891745808

NPI Information

  • NPI: 1891745808
  • Provider Name: PEDIATRIC SPECIAL CARE, INC.
  • Classification: Nursing Care - 251J00000X
  • Entity Type: Organization
  • :
  • CLIA Number: 23D2276880
  • Address: 22260 HAGGERTY RD STE 180
    NORTHVILLE, MI
    ZIP 48167
  • Phone: (248) 557-4800

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NPI Details

PEDIATRIC SPECIAL CARE, INC. is a nursing care in Northville, MI. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. PEDIATRIC SPECIAL CARE, INC. NPI is 1891745808. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

22260 HAGGERTY RD STE 180
NORTHVILLE, MI
ZIP 48167-984
Phone: (248) 557-4800
Fax: (248) 557-3998

The provider's authorized official is Matthew Buckhalter .
The authorized official title is Cfo and has the following contact phone number (470) 464-8000.

The CLIA number assigned to this NPI record is 23D2276880 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 1/27/2025.

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
1251E00000XHome HealthNo
2251J00000XNursing CareYes

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
12368214OTHEROTHER ID NUMBER
22934849MEDICAIDMICHIGAN
34360676MEDICAIDMICHIGAN

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

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