Organization Active NPI

Kids in Motion

  • Respite Care
  • Highland, MI
National Provider Identifier
1063802114
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
5502004079 Issued in MI
Legal business name
KIDS IN MOTION
Practice address
2636 S. Milford Road
Highland, MI 48357
Phone
(248) 684-9610
NPI assigned
Jan 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Authorized official

Name
Mary Hydorn
Title
PT
Phone
(248) 684-9610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X 5502004079 MI Primary

Addresses

Primary practice location

2636 S. Milford Road
Highland, MI 48357

Mailing address

6281 Middle Lake Road
Clarkston, MI 48346
Phone (248) 202-7510

Other identifiers 1

IdentifierTypeStateIssuer
22OtherMITAXONOMY

National Provider Directory

National Provider Directory

Locations

2636 S Milford Rd
Highland, MI 48357
Phone (248) 684-9610

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1063802114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6281 MIDDLE LAKE ROAD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "48346",
            "telephone_number": "248-202-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2636 S. MILFORD ROAD",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "48357",
            "telephone_number": "248-684-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS IN MOTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "HYDORN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "248-684-9610"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "MI",
            "license": "5502004079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "22",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.