Organization Active NPI

City Rescue Mission of Saginaw, Inc.

  • Assisted Living Facility
  • Saginaw, MI
National Provider Identifier
1063538536
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CITY RESCUE MISSION OF SAGINAW, INC.
Doing business as
Community Village
Practice address
3200 Hospital Rd
Saginaw, MI 48603-9622
Phone
(989) 792-5442
Fax
(989) 792-2717
NPI assigned
Mar 22, 2007
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
Mr. Kenneth R Streeter, N. H. A.
Title
Administrator
Phone
(989) 792-5442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X MI Primary

Addresses

Primary practice location

3200 Hospital Rd
Saginaw, MI 48603-9622

Mailing address

3200 Hospital Rd
Saginaw, MI 48603-9622
Phone (989) 792-5442

Other names 1

  • Community Village Doing business as

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
23D2203304Community Village3200 Hospital Road, Saginaw, MI 48603Certificate of waiverDec 2, 2026

National Provider Directory

National Provider Directory

Locations

3200 Hospital Rd
Saginaw, MI 48603
Phone (989) 792-5442

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063538536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 HOSPITAL RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486039622",
            "telephone_number": "989-792-5442",
            "fax_number": "989-792-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 HOSPITAL RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486039622",
            "telephone_number": "989-792-5442",
            "fax_number": "989-792-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY RESCUE MISSION OF SAGINAW, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STREETER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "989-792-5442",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "N. H. A."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saginaw, 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.
  • 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.