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NPI · 1972267870 · NPPES-sourced

Supreme Independence Room And Board

ActiveLodging Provider
NPI Number
1972267870
Type 2 · Organisation
Taxonomy Code
177F00000X
Contact
(313) 459-9538
Primary practice line
Last Updated
Enumerated
Primary practice addressMI · 48238-3250
12844 Broadstreet AveDetroit, MI 48238-3250
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About this NPIWhat this record shows.

NPI 1972267870 is registered to Supreme Independence Room And Board, a healthcare organisation classified as "Lodging Provider" and located at 12844 Broadstreet Ave in Detroit, Michigan. The organisation's authorised official is James Blake. The organisation has been enumerated in the NPI registry since 2021.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Supreme Independence Room And Board accepts. To confirm in-network status with your specific health plan, contact Supreme Independence Room And Board directly at (313) 459-9538.

Frequently asked

Yes. NPI 1972267870 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Lodging Provider is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (313) 459-9538.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Supreme Independence Room And Board is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy177F00000X
Last updated
Enumerated
StatusActive
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