Organization Active NPI

Care Commuity

  • Assisted Living Facility
  • Springfield, MI
National Provider Identifier
1104053123
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AH130254365 Issued in MI
Legal business name
CARE COMMUITY
Practice address
565 General Ave
Springfield, MI 49037-7553
Phone
(269) 968-3365
Fax
(269) 968-2446
NPI assigned
Jun 17, 2009
Last updated
Jun 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2009

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

Authorized official

Name
Mr. James Brian Carey
Title
President
Phone
(269) 968-3365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AH130254365 MI Primary

Addresses

Primary practice location

565 General Ave
Springfield, MI 49037-7553

Mailing address

565 General Ave
Springfield, MI 49037-7553
Phone (269) 968-3365

Other identifiers 1

IdentifierTypeStateIssuer
0323398MedicaidMI

National Provider Directory

National Provider Directory
Tax ID family
Care Commuity2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1104053123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 GENERAL AVE",
            "city": "SPRINGFIELD",
            "state": "MI",
            "postal_code": "490377553",
            "telephone_number": "269-968-3365",
            "fax_number": "269-968-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 GENERAL AVE",
            "city": "SPRINGFIELD",
            "state": "MI",
            "postal_code": "490377553",
            "telephone_number": "269-968-3365",
            "fax_number": "269-968-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE COMMUITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "CAREY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-968-3365",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AH130254365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0323398",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; 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.