Organization Active NPI

Baseline, L.L.C.

  • Mental Illness Community Based Residential Treatment Facility
  • Kalamazoo, MI
National Provider Identifier
1124665054
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
BASELINE, L.L.C.
Practice address
122 W Crosstown Pkwy
Kalamazoo, MI 49001-2742
Phone
(269) 501-5670
NPI assigned
Dec 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Authorized official

Name
David Ferry, L.L.P.
Title
President
Phone
(269) 501-5670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

122 W Crosstown Pkwy
Kalamazoo, MI 49001-2742

Mailing address

PO Box 160
Gobles, MI 49055-0160
Phone (269) 501-5670

National Provider Directory

National Provider Directory

Locations

122 W Crosstown Pkwy
Kalamazoo, MI 49001
Phone (269) 501-5670

NPI Registry JSON

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1124665054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "GOBLES",
            "state": "MI",
            "postal_code": "490550160",
            "telephone_number": "269-501-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W CROSSTOWN PKWY",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012742",
            "telephone_number": "269-501-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASELINE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "FERRY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-501-5670",
        "authorized_official_credential": "L.L.P."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.