Michi Rose Inc

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801071154 Issued in MI

Legal business name

MICHI ROSE INC

Practice address

5464 Holiday Terrace
Kalamazoo, MI 49009

Phone

(269) 353-3380

Fax

(269) 353-3380

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Michi Ishida Rose, MSW

Title

President

Phone

(269) 353-3380

Specialties & licenses 1

Addresses

Other names 1

• Michi Rose PhD Doing business as

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063445294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5464 HOLIDAY TERRACE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "49009",
            "telephone_number": "269-353-3380",
            "fax_number": "269-353-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5464 HOLIDAY TERRACE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "49009",
            "telephone_number": "269-353-3380",
            "fax_number": "269-353-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHI ROSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "MICHI",
        "authorized_official_middle_name": "ISHIDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-353-3380",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801071154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michi Rose PhD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zoey Michalak
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• Robert Michaud, DC
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• Michelle Klee PHD
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• Michigan Nursing Home Optical Services
• Michigan Orthopedic Surgery and Rehabilitation, P.C.

• Social Worker in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Social Worker in Michigan

• 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.