NPIMap

Organization Active NPI

Michigan Community Services, Inc

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Burton, MI
National Provider Identifier
1114285863
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
Legal business name
MICHIGAN COMMUNITY SERVICES, INC
Practice address
5242 Lapeer Rd Ste D
Burton, MI 48509-2224
Phone
(810) 635-4407
Fax
(810) 635-4086
NPI assigned
May 1, 2012
Organization subpart
Yes
Parent organization
MICHIGAN COMMUNITY SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Authorized official

Name
Greg Kirkland
Title
Executive Director
Phone
(810) 635-4407

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X Primary

Addresses

Primary practice location

5242 Lapeer Rd Ste D
Burton, MI 48509-2224

Mailing address

PO Box 317
Swartz Creek, MI 48473-0317
Phone (810) 635-4407

National Provider Directory

National Provider Directory
Tax ID family
Michigan Community Services Inc13 organizations share this tax ID, including this one
Part of
Michigan Community Services Inc

Other organizations with this tax ID 12

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

Locations

5242 Lapeer Rd
Ste D
Burton, MI 48509
Phone (810) 742-3922

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1114285863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 317",
            "city": "SWARTZ CREEK",
            "state": "MI",
            "postal_code": "484730317",
            "telephone_number": "810-635-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5242 LAPEER RD STE D",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485092224",
            "telephone_number": "810-635-4407",
            "fax_number": "810-635-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN COMMUNITY SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MICHIGAN COMMUNITY SERVICES, INC",
        "enumeration_date": "2012-05-01",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "KIRKLAND",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "810-635-4407"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.