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PERSONALIZED NURSING LIGHT HOUSE, INC.
NPI 1639201262
Clinic/Center - Rehabilitation, Substance Use Disorder in Plymouth, MI

Active since March 09, 2007
575 S MAIN ST STE 6, PLYMOUTH, MI 48170(734) 451-7800(734) 451-5410 Get Directions Write a Review

NPPES record last updated: May 7, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Personalized Nursing Light House, Inc. NPPES

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

PERSONALIZED NURSING LIGHT HOUSE, INC. (NPI 1639201262) is a healthcare organization registered as a rehabilitation, substance use disorder in Plymouth, Michigan and active in the NPI registry since March 2007. The organization lists Joseph S Paliwoda, Ceo, as its authorized official.

NPPES Registry Identity

NPI1639201262
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NamePERSONALIZED NURSING LIGHT HOUSE, INC.
Location Address575 S MAIN ST STE 6Plymouth, MI 48170-1778
Mailing Address575 S Main St, Suite 6Plymouth, MI 48170-1778 · (734) 451-7800 · Fax (734) 451-5410
Phone(734) 451-7800
Fax(734) 451-5410
Organization SubpartNo
Authorized OfficialJoseph S PaliwodaCeo · (734) 451-7800
Enumeration DateMarch 9, 2007
Last NPPES UpdateMay 7, 2018
✔ NPI 1639201262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License✔ Licensed in MI · 821032
575 S MAIN ST STE 6, Plymouth, MI 48170
Open in Google Maps ↗

Other Identifiers 1

Other821032MI · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Other Providers at the Same Location NPPES 20

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

MR. ROBERT A LINDMAN
Counselor (Addiction (Substance Use Disorder))
575 S MAIN ST STE 6
PLYMOUTH, MI 48170
Wayne County (734) 451-7800
LILLIE GRACE PIESKE
Case Manager/Care Coordinator
575 S MAIN ST STE 6
PLYMOUTH, MI 48170
Wayne County (800) 467-7654
ZHARIA TAYLOR
Case Manager/Care Coordinator
575 S MAIN ST STE 6
PLYMOUTH, MI 48170
Wayne County (734) 451-7800
CLARE WATERSTRADT
Counselor (Addiction (Substance Use Disorder))
575 S MAIN ST STE 6
PLYMOUTH, MI 48170
Wayne County (734) 451-7800
ASHLEY ANN NAZAROFF BS, CAADC-DP
Counselor (Addiction (Substance Use Disorder))
575 S MAIN ST STE 6
PLYMOUTH, MI 48170
Wayne County (734) 451-7800
ALICIA REGINA BEENEY
Counselor (Addiction (Substance Use Disorder))
575 S MAIN ST STE 6
PLYMOUTH, MI 48170
Wayne County (734) 451-7800
KIMBERLY RAE MAHAFFA LMSW, CAADC
Social Worker (Clinical)
575 S MAIN ST STE 6
PLYMOUTH, MI 48170
Wayne County (734) 451-7800
MARIANNA MONETTE WERDA
Social Worker (Clinical)
575 S MAIN ST STE 6
PLYMOUTH, MI 48170
Wayne County (734) 451-7800

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 Personalized Nursing Light House, Inc.'s NPI number?

The NPI number for Personalized Nursing Light House, Inc. is 1639201262. It was assigned to this organization in the NPPES registry on March 9, 2007.

Where is Personalized Nursing Light House, Inc. located?

Personalized Nursing Light House, Inc. is located at 575 S Main St Ste 6, Plymouth, MI 48170. The listed phone number is (734) 451-7800.

What is Personalized Nursing Light House, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

What insurance does Personalized Nursing Light House, Inc. accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Personalized Nursing Light House, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Personalized Nursing Light House, Inc. was last updated on May 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.