Blue Light Inc.
Blue Light Inc. is a healthcare organization registered as Developmental Disabilities Clinic/Center in Wayne, MI, holding Type 2 (organization) NPI 1497168215 since 2014. The authorized official on file is Phyllis Clark, Executive Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1497168215 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Blue Light Inc. |
| Practice address | 26105 ORCHARD LAKE RD SUITE #208 FARMINGTON HILLS MI 48, 35115 E MICHIGAN AVE, Wayne, MI, 48184 |
| Phone | 2486153042 |
| Fax | 2486153047 |
| Enumeration date | 2014-06-09 |
| Last updated in NPPES | 2024-11-22 |
Authorized official
| Name | Phyllis Clark |
|---|---|
| Title | Executive Director |
| Phone | 3139994890 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QD1600X | Developmental Disabilities Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1693530 | Medicaid | MI | — |
Copy-ready billing details
Provider: Blue Light Inc. NPI: 1497168215 Taxonomy: 261QD1600X (Developmental Disabilities Clinic/Center) Address: 26105 ORCHARD LAKE RD SUITE #208 FARMINGTON HILLS MI 48, 35115 E MICHIGAN AVE, Wayne, MI, 48184
Verify this record
Cross-check NPI 1497168215 against the authoritative CMS record: view Blue Light Inc. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Where is Blue Light Inc. located?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2024-11-22.