PERSONALIZED NURSING LIGHT HOUSE INC – NPI #1285110767
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

PERSONALIZED NURSING LIGHT HOUSE INC is a substance abuse rehabilitation facility located in CANTON, MI. NPPES has assigned the NPI number 1285110767 to PERSONALIZED NURSING LIGHT HOUSE INC on July 17, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 8 years ago on Jul 18, 2018. 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 PERSONALIZED NURSING LIGHT HOUSE INC below.

NPI Profile for
PERSONALIZED NURSING LIGHT HOUSE INC

NPI Number
1285110767
Enumeration Date

(about 8 years 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
PERSONALIZED NURSING LIGHT HOUSE INC
Former Legal Business Name: PERSONALIZED NURSING LIGHT HOUSE INC
Primary location
7752 N CANTON CENTER RD STE 120
CANTON, MI 48187
Phone: (734) 851-7311 Fax: (734) 851-7312
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOSEPH PALIWODA
CEO
Phone: (810) 231-3839
Updated
Identifiers

Identifiers for PERSONALIZED NURSING LIGHT HOUSE INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERIRSMI382942874
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
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
MI SA0821032

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.