Grace Wellness Clinic

LBN: Samuelson Enterprises, Pllc
Grace Wellness Clinic is an health care organization with primary practice located at 3930 Mount Vernon Dr , Bloomfield Hills MI 48301-3226. The organization recently has 15 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Hypertension Specialist, Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Neurological Surgery, Agencies / Home Health, Agencies / Hospice Care, Community Based, Ambulatory Health Care Facilities / Corporate Health, Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Infusion Therapy, Managed Care Organizations / Point of Service, Suppliers / Home Infusion Therapy Pharmacy, Transportation Services / Secured Medical Transport (VAN), Respite Care Facility / Respite Care Camp. Ambulatory Health Care Facilities / Health Service is the primary health care specialty. Samuelson Enterprises, Pllc can be contacted via phone (202) 262-2218, or through Samuel, Bensson Varghese via phone (248) 792-9864.

Contact Information

Primary practice address
3930 Mount Vernon Dr Bloomfield Hills MI 48301-3226
Phone: (202) 262-2218
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Samuel, Bensson Varghese MD,MD,PG-DIP
Phone: (248) 792-9864

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Allopathic & Osteopathic Physicians / Hypertension Specialist 207RH0005X
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X
Agencies / Home Health 251E00000X
Agencies / Hospice Care, Community Based 251G00000X Michigan
Ambulatory Health Care Facilities / Corporate Health 261QC1800X Michigan
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X
Ambulatory Health Care Facilities / Health Service 261QH0100X Michigan
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X Michigan
Managed Care Organizations / Point of Service 305S00000X
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X
Transportation Services / Secured Medical Transport (VAN) 343800000X
Respite Care Facility / Respite Care Camp 385HR2050X

Profile Details

NPI number 1386152296
LBN Legal business name Samuelson Enterprises, Pllc
DBA Doing business as Grace Wellness Clinic
Authorized official Samuel, Bensson Varghese MD,MD,PG-DIP
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2018
Last updated Jan 12th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386152296 NPPES
Pennsylvania MEDICAID 1710240403

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