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Contact Information

RD SENIOR CARE SERVICES PC
1157 UNION LAKE RD
WHITE LAKE, MI48386-4348
 Phone: 248-363-4143
 Fax: 248-363-2160
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

364SG0600X 89 Certified Clinical Nurse Specialist
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for RD SENIOR CARE SERVICES PC

NPI Number 1336188101
LBN Legal business name RD SENIOR CARE SERVICES PC
Authorized official M HEIDENREICH - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/06/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
MI Medicaid 4525417
MI Medicaid 4588275
MI Medicaid 4620793
MI Medicaid 4832042
MI Other 0F31774 BCBSM
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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