Provider Demographics
NPI:1144636796
Name:JP HEALTH SYSTEMS LLC
Entity type:Organization
Organization Name:JP HEALTH SYSTEMS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:KINAYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-535-5685
Mailing Address - Street 1:6750 ALTA VISTA CT
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-2774
Mailing Address - Country:US
Mailing Address - Phone:248-535-5685
Mailing Address - Fax:
Practice Address - Street 1:3161 HILTON RD
Practice Address - Street 2:
Practice Address - City:FERNDALE
Practice Address - State:MI
Practice Address - Zip Code:48220-1038
Practice Address - Country:US
Practice Address - Phone:248-535-5685
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-03
Last Update Date:2014-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)