Organization Active NPI

Clay Creek House LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Pinckney, MI
National Provider Identifier
1083555825
Registry record updated Apr 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
CLAY CREEK HOUSE LLC
Practice address
336 Webster St
Pinckney, MI 48169-8738
Phone
(616) 755-3507
NPI assigned
Apr 4, 2026
Last updated
Apr 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2026

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

Authorized official

Name
Michael E Wilcox
Title
President
Phone
(616) 755-3507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU Primary

Addresses

Primary practice location

336 Webster St
Pinckney, MI 48169-8738

Mailing address

336 Webster St
Pinckney, MI 48169-8738
Phone (616) 755-3507

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1775260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775260800000",
    "number": "1083555825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 WEBSTER ST",
            "city": "PINCKNEY",
            "state": "MI",
            "postal_code": "481698738",
            "telephone_number": "616-755-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 WEBSTER ST",
            "city": "PINCKNEY",
            "state": "MI",
            "postal_code": "481698738",
            "telephone_number": "616-755-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY CREEK HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-04",
        "last_updated": "2026-04-04",
        "certification_date": "2026-04-04",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-755-3507"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinckney, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2026; 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.