Organization Active NPI

Twin Maples

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Jackson, MI
National Provider Identifier
1184778805
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
TWIN MAPLES
Practice address
158 Robinson Rd
Jackson, MI 49203-1053
Phone
(517) 750-2968
Fax
(517) 750-9023
NPI assigned
Jan 22, 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
Pamela Griffith
Title
Direct Owner
Phone
(517) 750-2968

Specialties & licenses 1

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

Addresses

Primary practice location

158 Robinson Rd
Jackson, MI 49203-1053

Mailing address

158 Robinson Rd
Jackson, MI 49203-1053
Phone (517) 750-2968

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184778805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 ROBINSON RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492031053",
            "telephone_number": "517-750-2968",
            "fax_number": "517-750-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 ROBINSON RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492031053",
            "telephone_number": "517-750-2968",
            "fax_number": "517-750-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN MAPLES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "DIRECT OWNER",
        "authorized_official_telephone_number": "517-750-2968"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, 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.