Organization Active NPI

Stone Cottage Residence, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Kalamazoo, MI
National Provider Identifier
1164644399
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
STONE COTTAGE RESIDENCE, INC.
Practice address
1100 S Rose St
Kalamazoo, MI 49001-2664
Phone
(269) 343-3731
Fax
(269) 343-2940
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Scott N Schrum
Title
Executive Director
Phone
(269) 343-3731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

1100 S Rose St
Kalamazoo, MI 49001-2664

Mailing address

1100 S Rose St
Kalamazoo, MI 49001-2664
Phone (269) 343-3731

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164644399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S ROSE ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012664",
            "telephone_number": "269-343-3731",
            "fax_number": "269-343-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S ROSE ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012664",
            "telephone_number": "269-343-3731",
            "fax_number": "269-343-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE COTTAGE RESIDENCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHRUM",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "269-343-3731",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "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 Aug 22, 2020; 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.