The Arc Shiawassee County Inc

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

THE ARC SHIAWASSEE COUNTY INC

Practice address

1905 West M-21
Owosso, MI 48867

Phone

(989) 723-7377

Fax

(989) 725-6113

NPI assigned

Nov 15, 2017

Last updated

Nov 15, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lynn Kovalik Grubb

Title

Executive Director

Phone

(989) 723-7377

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510704000000",
    "number": "1083127880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63",
            "address_2": "1905 WEST M-21",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "48867",
            "telephone_number": "989-723-7377",
            "fax_number": "989-725-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 WEST M-21",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "48867",
            "telephone_number": "989-723-7377",
            "fax_number": "989-725-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARC SHIAWASSEE COUNTY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-15",
        "last_updated": "2017-11-15",
        "status": "A",
        "authorized_official_last_name": "GRUBB",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "KOVALIK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "989-723-7377"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriella M. Testa
• Joseph Erik Testa, DO
• Shawn Testa
• Autumn Amber Thai
• Alea Thayer, MA, CF-SLP
• The Memorial Hospital (Memorial Healthcare Outpatient Pharmacy NOW)
• The Memorial Hospital (Memorial Community Pharmacy)
• The Memorial Hospital (Memorial Healthcare Outpatient Pharmacy Owosso)
• Brandi Thiel
• Thomas Transportation Service LLC

• Respite Care in Owosso, MI
• Providers in Owosso, MI by specialty
• Respite Care in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; 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.