Provider Demographics
NPI:1588165989
Name:HEALTHPOINT MANAGEMENT LLC
Entity type:Organization
Organization Name:HEALTHPOINT MANAGEMENT LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NADA
Authorized Official - Middle Name:
Authorized Official - Last Name:KADDOU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-333-5336
Mailing Address - Street 1:46591 ROMEO PLANK RD STE 133
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:MI
Mailing Address - Zip Code:48044-5705
Mailing Address - Country:US
Mailing Address - Phone:586-333-5336
Mailing Address - Fax:586-267-5088
Practice Address - Street 1:46591 ROMEO PLANK RD STE 133
Practice Address - Street 2:
Practice Address - City:MACOMB
Practice Address - State:MI
Practice Address - Zip Code:48044-5705
Practice Address - Country:US
Practice Address - Phone:586-333-5336
Practice Address - Fax:586-267-5088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-22
Last Update Date:2018-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1588165989Medicaid