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GWENDOLYN D BUSH
NPI 1518548601
Clinic/Center - Adult Day Care in Southfield, MI

Active since April 20, 2021
23195 RIVERSIDE DR, SOUTHFIELD, MI 48033(954) 806-9411 Get Directions Write a Review

NPPES record last updated: April 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gwendolyn D Bush NPPES

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

GWENDOLYN D BUSH (NPI 1518548601) is an individual adult day care provider in Southfield, Michigan and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1518548601
Entity TypeIndividualFemale
Primary Taxonomy261QA0600X
Provider Legal NameGWENDOLYN D BUSH
Location Address23195 RIVERSIDE DRSouthfield, MI 48033-7301
Mailing Address23195 Riverside DrSouthfield, MI 48033-7301 · (954) 806-9411
Phone(954) 806-9411
Sole ProprietorYes
Enumeration DateApril 20, 2021
NPPES CertifiedApril 20, 2021
✔ NPI 1518548601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
23195 RIVERSIDE DR, Southfield, MI 48033
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Other Identifiers 1

Medicaid9521503MI

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 Gwendolyn Bush's NPI number?

The NPI number for Gwendolyn Bush is 1518548601. It was assigned to this individual provider in the NPPES registry on April 20, 2021.

Where is Gwendolyn Bush located?

Gwendolyn Bush practices at 23195 Riverside Dr, Southfield, MI 48033. The listed phone number is (954) 806-9411.

What is Gwendolyn Bush's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

When was this NPI record last updated?

The NPPES record for Gwendolyn Bush was last updated on April 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.