Provider Demographics
NPI:1982254041
Name:BLUESTONE CHILDRENS CENTER, LLC
Entity Type:Organization
Organization Name:BLUESTONE CHILDRENS CENTER, LLC
Other - Org Name:BLUESTONE PEDIATRIC THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:GREULICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-886-9540
Mailing Address - Street 1:38935 ANN ARBOR RD STE 150
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48150-3397
Mailing Address - Country:US
Mailing Address - Phone:248-886-9540
Mailing Address - Fax:248-254-6613
Practice Address - Street 1:38935 ANN ARBOR RD STE 150
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48150-3397
Practice Address - Country:US
Practice Address - Phone:248-886-9540
Practice Address - Fax:248-254-6613
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BLUESTONE CHILDRENS CENTER, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-09-19
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty