Ocean City Specialized Residential Services

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

OCEAN CITY SPECIALIZED RESIDENTIAL SERVICES

Practice address

50831 Denali CT
Novi, MI 48374-2566

Phone

(214) 250-6576

NPI assigned

Aug 10, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Kehinde O Ogundipe

Title

Administrator

Phone

(214) 250-6576

Specialties & licenses 1

Addresses

Other names 1

• Ocean City Specialized Residential Care Services Other name

Electronic endpoints 1

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1104591452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50831 DENALI CT",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483742566",
            "telephone_number": "214-250-6576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50831 DENALI CT",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483742566",
            "telephone_number": "214-250-6576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN CITY SPECIALIZED RESIDENTIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "OGUNDIPE",
        "authorized_official_first_name": "KEHINDE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-250-6576",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Flint",
            "affiliation": "Y",
            "endpointDescription": "Office of the Administrator",
            "affiliationName": "Eden Prairie Residential Care Services, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "302 Welch Blvd",
            "city": "Flint",
            "state": "MI",
            "country_code": "US",
            "postal_code": "485031105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ocean City Specialized Residential Care Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Assisted Living Facility (Mental Illness) in Novi, MI
• Providers in Novi, MI by specialty
• Assisted Living Facility (Mental Illness) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.