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BLUE LIGHT INC.
NPI 1497168215
Clinic/Center - Developmental Disabilities in Wayne, MI

Active since June 09, 2014
26105 ORCHARD LAKE RD SUITE #208 FARMINGTON HILLS MI 48, 35115 E MICHIGAN AVE, WAYNE, MI 48184(248) 615-3042(248) 615-3047 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Blue Light Inc. NPPES

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

BLUE LIGHT INC. (NPI 1497168215) is a healthcare organization registered as a developmental disabilities in Wayne, Michigan and active in the NPI registry since June 2014. The organization lists Phyllis Clark, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1497168215
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NameBLUE LIGHT INC.
Location Address26105 ORCHARD LAKE RD SUITE #208 FARMINGTON HILLS MI 48, 35115 E MICHIGAN AVEWayne, MI 48184
Mailing Address26105 Orchard Lake Rd, Suite #208Farmington Hills, MI 48334-4576 · (248) 615-3042 · Fax (248) 615-3047
Phone(248) 615-3042
Fax(248) 615-3047
Organization SubpartNo
Authorized OfficialPhyllis ClarkExecutive Director · (313) 999-4890
Enumeration DateJune 9, 2014
Last NPPES UpdateNovember 22, 2024
✔ NPI 1497168215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

Other Identifiers 1

Medicaid1693530MI

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 Blue Light Inc.'s NPI number?

The NPI number for Blue Light Inc. is 1497168215. It was assigned to this organization in the NPPES registry on June 9, 2014.

Where is Blue Light Inc. located?

Blue Light Inc. is located at 26105 Orchard Lake Rd Suite #208 Farmington Hills Mi 48 35115 E Michigan Ave, Wayne, MI 48184. The listed phone number is (248) 615-3042.

What is Blue Light Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Blue Light Inc. was last updated on November 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.