PRODIGIOUS STAFFING – NPI #1073477725
Health Maintenance Organization

(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.

PRODIGIOUS STAFFING is a health maintenance organization (HMO) located in LIVONIA, MI. NPPES has assigned the NPI number 1073477725 to PRODIGIOUS STAFFING on December 16, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 302R00000X from the Health Care Provider Taxonomy code set, which is classified as Health Maintenance Organization.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PRODIGIOUS STAFFING below.

NPI Profile for
PRODIGIOUS STAFFING

NPI Number
1073477725
Enumeration Date

(about 6 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRODIGIOUS STAFFING
Primary location
31221 LYNDON ST
LIVONIA, MI 48154-4354
Phone: (734) 407-7622 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GAVIN RISER
GENERAL MANAGER
Phone: (734) 407-7622
Updated
Certification Date
Dec 16, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
302R00000X
- Health Maintenance Organization (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.