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PANACEA PORTAL LLC
NPI 1003559675
Contractor in Burton, MI

Active since April 20, 2022
6457 HICKORY LN, BURTON, MI 48509(248) 509-4774 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Panacea Portal Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PANACEA PORTAL LLC (NPI 1003559675) is a healthcare organization registered as a contractor in Burton, Michigan and active in the NPI registry since April 2022. The organization lists Brian Rouse, President, as its authorized official.

NPPES Registry Identity

NPI1003559675
Entity TypeOrganization
Primary Taxonomy171W00000X
Legal Business NamePANACEA PORTAL LLC
Location Address6457 HICKORY LNBurton, MI 48509-9303
Mailing Address6457 Hickory LnBurton, MI 48509-9303 · (248) 509-4774
Phone(248) 509-4774
Organization SubpartNo
Authorized OfficialBrian RousePresident · (248) 509-4774
Enumeration DateApril 20, 2022
NPPES CertifiedApril 20, 2022
✔ NPI 1003559675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
Definition

For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.

6457 HICKORY LN, Burton, MI 48509
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIAN ROUSE
Specialist/Technologist, Other
6457 HICKORY LN
BURTON, MI 48509
Genesee County (248) 509-4774

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Panacea Portal LLC's NPI number?

The NPI number for Panacea Portal LLC is 1003559675. It was assigned to this organization in the NPPES registry on April 20, 2022.

Where is Panacea Portal LLC located?

Panacea Portal LLC is located at 6457 Hickory Ln, Burton, MI 48509. The listed phone number is (248) 509-4774.

What is Panacea Portal LLC's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Panacea Portal LLC was last updated on April 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.