Rsa Foundation

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

RSA FOUNDATION

Practice address

23855 Lawrence
Center Line, MI 48015

Phone

(586) 806-6455

Fax

(586) 806-6455

NPI assigned

Mar 15, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Deborah PrentissNPI 1689114811

Title

Board Member

Phone

(586) 806-6455

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deborah Prentiss

  • Student in an Organized Health Care Education/Training Program
  • Center Line, MI
  • NPI 1689114811
  NPD (past) Authorized official

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1154862779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23855 LAWRENCE",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "48015",
            "telephone_number": "586-806-6455",
            "fax_number": "586-806-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23855 LAWRENCE",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "48015",
            "telephone_number": "586-806-6455",
            "fax_number": "586-806-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RSA FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "PRENTISS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "586-806-6455",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192184",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryant James Roberts, PHARMD
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• Houston Sanderfield
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• Khadisha Saunders-Davenport, MA, LLPC, CAADC, CAS

• Developmentally Disabled Services Day Training Agency in Center Line, MI
• Providers in Center Line, MI by specialty
• Developmentally Disabled Services Day Training Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.