Macomb Residential Opportunities, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

MACOMB RESIDENTIAL OPPORTUNITIES, INC.

Practice address

2 Crocker Blvd
Suite 205
Mount Clemens, MI 48043-2528

Phone

(586) 469-4480

Fax

(586) 469-4799

NPI assigned

Jan 4, 2008

Last updated

Jan 4, 2008By 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

Mr. Ted Edward Devantier

Title

Executive Director

Phone

(586) 469-4480

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1093990384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CROCKER BLVD",
            "address_2": "SUITE 205",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432528",
            "telephone_number": "586-469-4480",
            "fax_number": "586-469-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CROCKER BLVD",
            "address_2": "SUITE 205",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432528",
            "telephone_number": "586-469-4480",
            "fax_number": "586-469-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACOMB RESIDENTIAL OPPORTUNITIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "DEVANTIER",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "586-469-4480",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Macchi
• Lynn M. Macdonald, MA, LPC
• Bria Maclin
• Macomb County Human Services Board-an Agency of Macomb County (Martha T. Berry MCF)
• Macomb Emergency Physicians PLLC
• Adriene Maddox, LLMSW
• Lisa Mader, MSW
• Sameera Mahesh Mahimkar
• Paul A Mailloux, CRNA
• Mainstreet Chiropractic LLC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Mount Clemens, MI
• Providers in Mount Clemens, MI by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; 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.