Organization Active NPI

Community Programs Inc.

  • Substance Abuse Rehabilitation Facility
  • Waterford, MI
National Provider Identifier
1003247362
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
631281 Issued in MI
Legal business name
COMMUNITY PROGRAMS INC.
Practice address
1255 N Oakland Blvd
Waterford, MI 48327-1545
Phone
(248) 599-8999
Fax
(248) 406-0129
NPI assigned
Dec 11, 2013
Organization subpart
Yes
Parent organization
COMMUNITY PROGRAMS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Richard Paige
Title
Ceo
Phone
(248) 599-8999

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Substance Abuse Rehabilitation Facility 324500000X 631281 MI Primary

Addresses

Primary practice location

1255 N Oakland Blvd
Waterford, MI 48327-1545

Mailing address

1255 N Oakland Blvd
Waterford, MI 48327-1545
Phone (248) 599-8999

Other practice location 1

1435 N Oakland Blvd
Waterford, MI 48327-1549
Phone (248) 599-8999

Other names 1

  • Meridian Health Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160503000377 MI Part B Supplier - Clinic/Group Practice 2365741998 Receives reassigned benefits from 10 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Waterford, MI; Flint, MI

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0901481Community Programs, Inc1255 N Oakland Blvd, Waterford, MI 48327Certificate of waiverMay 29, 2027

National Provider Directory

National Provider Directory
Part of
Community Programs Inc

Locations

G3500 Flushing Rd
Ste 200
Flint, MI 48504
Phone (248) 599-8999

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1003247362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 N OAKLAND BLVD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271545",
            "telephone_number": "248-599-8999",
            "fax_number": "248-406-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 N OAKLAND BLVD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271545",
            "telephone_number": "248-599-8999",
            "fax_number": "248-406-0129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1435 N Oakland Blvd",
            "address_purpose": "LOCATION",
            "city": "Waterford",
            "state": "MI",
            "postal_code": "483271549",
            "country_code": "US",
            "telephone_number": "248-599-8999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY PROGRAMS INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY PROGRAMS, INC.",
        "enumeration_date": "2013-12-11",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "PAIGE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-599-8999"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MI",
            "license": "631281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meridian Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.