Organization Active NPI

Transition House Inc

  • Substance Abuse Rehabilitation Facility
  • Flint, MI
National Provider Identifier
1073737433
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
250041 Issued in MI
Legal business name
TRANSITION HOUSE INC
Practice address
931 Martin Luther King
Flint, MI 48503-1488
Phone
(810) 232-2091
Fax
(810) 232-2758
NPI assigned
Apr 13, 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. James Jacobs, MBA
Title
Ceo
Phone
(810) 232-2091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 250041 MI Primary

Addresses

Primary practice location

931 Martin Luther King
Flint, MI 48503-1488

Mailing address

931 Martin Luther King
Flint, MI 48503-1488
Phone (810) 232-2091

Other identifiers 2

IdentifierTypeStateIssuer
1705233MedicaidMI
250041OtherMISTATE LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073737433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 MARTIN LUTHER KING",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485031488",
            "telephone_number": "810-232-2091",
            "fax_number": "810-232-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 MARTIN LUTHER KING",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485031488",
            "telephone_number": "810-232-2091",
            "fax_number": "810-232-2758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSITION HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "810-232-2091",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MI",
            "license": "250041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1705233",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "250041",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.