Active NPI
Spectrum Community Services
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Westland, MI
National Provider Identifier
1164577391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- AS820092071
- Legal business name
- SPECTRUM COMMUNITY SERVICES
- Practice address
- 28303 Joy Rd
Westland, MI 48185 - Phone
- (616) 241-6258
- Fax
- (616) 241-6470
- NPI assigned
- Jan 25, 2007
- Organization subpart
- Yes
- Parent organization
- SPECTRUM HUMAN SERVICES, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sharon Kay Blain
- Title
- Executive Director
- Phone
- (616) 241-6258
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | AS820092071 | MI | Primary |
Addresses
Primary practice location
28303 Joy Rd
Westland, MI 48185
Mailing address
28303 Joy Rd
Westland, MI 48185
Phone (616) 241-6258
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Spectrum Community Services
- Part of
- Spectrum Child and Family Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Westland, MI
- NPI 1457117962
Locations
3485 Rogue River Rd NE
Belmont, MI 49306
Phone (616) 447-9380
3353 Lousma Dr SE
Wyoming, MI 49548
Phone (616) 514-9233
1111 40th St SE
Wyoming, MI 49508
Phone (616) 516-7131
Practitioners & affiliated clinicians
Practitioners 73
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Wyoming, MI
- NPI 1609267848
-
- Social Worker
- Grand Rapids, MI
- NPI 1720807373
-
- Social Worker
- Grand Rapids, MI
- NPI 1528831567
-
- Social Worker
- Grand Rapids, MI
- NPI 1114653706
-
- Social Worker
- Grand Rapids, MI
- NPI 1700654332
-
- Social Worker
- Grand Rapids, MI
- NPI 1699408252
-
- Social Worker
- Grand Rapids, MI
- NPI 1659161479
-
- Social Worker
- Grand Rapids, MI
- NPI 1659103091
-
- Social Worker
- Grand Rapids, MI
- NPI 1710869904
-
- Social Worker
- Grand Rapids, MI
- NPI 1962241042
-
- Social Worker
- Grand Rapids, MI
- NPI 1235750233
-
- Social Worker
- Grand Rapids, MI
- NPI 1336928142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718668800000",
"number": "1164577391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28303 JOY RD",
"city": "WESTLAND",
"state": "MI",
"postal_code": "48185",
"telephone_number": "616-241-6258",
"fax_number": "616-241-6470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28303 JOY RD",
"city": "WESTLAND",
"state": "MI",
"postal_code": "48185",
"telephone_number": "616-241-6258",
"fax_number": "616-241-6470"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECTRUM COMMUNITY SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SPECTRUM HUMAN SERVICES, INC.",
"enumeration_date": "2007-01-25",
"last_updated": "2024-06-18",
"status": "A",
"authorized_official_last_name": "BLAIN",
"authorized_official_first_name": "SHARON",
"authorized_official_middle_name": "KAY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "616-241-6258",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "MI",
"license": "AS820092071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.