Active NPI
Bedford Specialized Care, Inc
- Mental Illness Community Based Residential Treatment Facility
- Battle Creek, MI
National Provider Identifier
1063764082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- AS130095138
- Legal business name
- BEDFORD SPECIALIZED CARE, INC
- Practice address
- 34 Byron St
Battle Creek, MI 49017-4860 - Phone
- (269) 966-7459
- Fax
- (269) 968-1196
- NPI assigned
- Oct 15, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Alan Michael Dyer
- Title
- President
- Phone
- (269) 753-6027
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | AS130095138 | MI | Primary |
Addresses
Primary practice location
34 Byron St
Battle Creek, MI 49017-4860
Mailing address
2775 W Dickman Rd
Ste H1
Springfield, MI 49037-4862
Phone (269) 753-6027
National Provider Directory
National Provider DirectoryLocations
2775 W Dickman Rd
Ste H1
Springfield, MI 49037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350259200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350259200000",
"number": "1063764082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2775 W DICKMAN RD",
"address_2": "STE H1",
"city": "SPRINGFIELD",
"state": "MI",
"postal_code": "490374862",
"telephone_number": "269-753-6027",
"fax_number": "269-968-1196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 BYRON ST",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490174860",
"telephone_number": "269-966-7459",
"fax_number": "269-968-1196"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEDFORD SPECIALIZED CARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-15",
"last_updated": "2012-10-15",
"status": "A",
"authorized_official_last_name": "DYER",
"authorized_official_first_name": "ALAN",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "269-753-6027",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "MI",
"license": "AS130095138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Battle Creek, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.