Healthcare Provider Details

I. General information

NPI: 1487195012
Provider Name (Legal Business Name): NEXTS CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2017
Last Update Date: 03/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26400 LAHSER RD SUITE 345
SOUTHFIELD MI
48033-2604
US

IV. Provider business mailing address

26400 LAHSER RD SUITE 345
SOUTHFIELD MI
48033-2604
US

V. Phone/Fax

Practice location:
  • Phone: 248-419-4253
  • Fax: 248-419-2134
Mailing address:
  • Phone: 248-419-4253
  • Fax: 248-419-2134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code405300000X
TaxonomyPrevention Professional
License Number
License Number State

VIII. Authorized Official

Name: WODROW HALL
Title or Position: OWNER
Credential: MBA
Phone: 248-419-4253