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MICHAEL JEROME MCGAUGHY CAREGIVER NPI 1952021552


NPI Information

NPI: 1952021552
Provider Name: MICHAEL JEROME MCGAUGHY, CAREGIVER
Classification: Clinic/Center - 261QA0600X
Entity Type: Individual

Specialization: Adult Day Care

Address:
17206 GLASTONBURY RD
DETROIT, MI
ZIP 48219
Phone: (313) 333-9715
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Michael Jerome Mcgaughy, CAREGIVER is an adult day care clinic center in Detroit, MI. Michael Jerome Mcgaughy, CAREGIVER NPI is 1952021552. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

17206 GLASTONBURY RD
DETROIT, MI
ZIP 48219-130
Phone: (313) 333-9715

The enumeration date for this NPI number is 9/1/2022 and was last updated on 9/1/2022.


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
1261QA0600XClinic/CenterAdult Day CareYes

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: 5/5/2024

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.