Flatrock Manor of Flint Township

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

AM250369661 Issued in MI

Legal business name

FLATROCK MANOR OF FLINT TOWNSHIP

Practice address

2360 Stonebridge Dr
Flint, MI 48532-5406

Phone

(810) 875-9444

Fax

(810) 875-9408

NPI assigned

Jul 20, 2016

Organization subpart

No

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

Authorized official

Name

Carrie Aldrich

Title

Authorized Official

Phone

(848) 459-3831

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1104279587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 STONEBRIDGE DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325406",
            "telephone_number": "810-875-9444",
            "fax_number": "810-875-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 STONEBRIDGE DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325406",
            "telephone_number": "810-875-9444",
            "fax_number": "810-875-9408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLATROCK MANOR OF FLINT TOWNSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "ALDRICH",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "848-459-3831"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": "AM250369661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Gail Fitch, FNP
• Melvin J. Flamenbaum, D.M.D.
• Keziah Flanagan
• Cherish Lee Flater
• Flatrock Manor of Flint
• Linval Keith Fleetwood, M.D.
• Clinten Fleming
• Vinika Faye Fleming
• Kristin Nicole Fletcher
• Bailey Elizabeth Flewelling, M.A., BCBA, LBA

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Flint, MI
• Providers in Flint, MI by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.