The Mom and Baby Program

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

4704160228 Issued in MI

Legal business name

THE MOM AND BABY PROGRAM

Practice address

129 E University Dr
Rochester, MI 48307-2046

Phone

(248) 838-9665

Fax

(248) 659-5207

NPI assigned

Jul 27, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Loretta Ann Tyler, RN BSN

Title

Executive Director Mihp Coordinator

Phone

(248) 838-9665

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1083960009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 E UNIVERSITY DR",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483072046",
            "telephone_number": "248-838-9665",
            "fax_number": "248-659-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 E UNIVERSITY DR",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483072046",
            "telephone_number": "248-838-9665",
            "fax_number": "248-659-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MOM AND BABY PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-27",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR MIHP COORDINATOR",
        "authorized_official_telephone_number": "248-838-9665",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN BSN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MI",
            "license": "4704160228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Rochester, MI
• Providers in Rochester, MI by specialty
• Case Management Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.