Organization Active NPI

Bedford Specialized Care, Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Battle Creek, MI
National Provider Identifier
1063764082
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
AS130095138 Issued in MI
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

Updated by the provider on Oct 15, 2012

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.