Organization Active NPI

T&G Coporation

Doing business as The Behavioral Center of Michigan

  • General Acute Care Hospital
  • Warren, MI
National Provider Identifier
1033283023
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H1122005 Issued in MI
Legal business name
T&G COPORATION
Doing business as
The Behavioral Center of Michigan
Practice address
4050 E 12 Mile Rd
Warren, MI 48092-2594
Phone
(586) 261-2266
Fax
(586) 261-3628
NPI assigned
Nov 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Kimberly Luklo-Miller
Title
Controller
Phone
(586) 261-2266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H1122005 MI Primary

Addresses

Primary practice location

4050 E 12 Mile Rd
Warren, MI 48092-2594

Mailing address

4050 E 12 Mile Rd
Warren, MI 48092-2594
Phone (586) 261-2266

Other identifiers 1

IdentifierTypeStateIssuer
600100MedicaidMI

Other names 1

  • The Behavioral Center of Michigan Doing business as

National Provider Directory

National Provider Directory
Tax ID family
T G Corporation Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033283023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480922594",
            "telephone_number": "586-261-2266",
            "fax_number": "586-261-3628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480922594",
            "telephone_number": "586-261-2266",
            "fax_number": "586-261-3628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T&G COPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUKLO-MILLER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "586-261-2266",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MI",
            "license": "H1122005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600100",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Behavioral Center of Michigan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.