Provider Demographics
NPI:1497593529
Name:PULSE COMMUNITY HEALTH LLC
Entity type:Organization
Organization Name:PULSE COMMUNITY HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTING OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHARU
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPOOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-229-8002
Mailing Address - Street 1:3733 HERON RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48309-4522
Mailing Address - Country:US
Mailing Address - Phone:248-229-8002
Mailing Address - Fax:
Practice Address - Street 1:3733 HERON RIDGE DR
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48309-4522
Practice Address - Country:US
Practice Address - Phone:248-229-8002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PULSE COMMUNITY HEALTH LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No273R00000XHospital UnitsPsychiatric Unit