Active NPI
Whaley Children'S Center
- Foster Care Agency
- Flint, MI
National Provider Identifier
1205216371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foster Care Agency
- License
- CI250201313
- Legal business name
- WHALEY CHILDREN'S CENTER
- Practice address
- 1201 N Grand Traverse St
Flint, MI 48503-1312 - Phone
- (810) 234-3603
- Fax
- (810) 232-3416
- NPI assigned
- Jun 4, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin Roach, MSW
- Title
- President and Ceo
- Phone
- (810) 234-3603
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foster Care Agency | 253J00000X | CI250201313 | MI | Primary |
Addresses
Primary practice location
1201 N Grand Traverse St
Flint, MI 48503-1312
Mailing address
1201 N Grand Traverse St
Flint, MI 48503-1312
Phone (810) 234-3603
National Provider Directory
National Provider DirectoryLocations
1201 N Grand Traverse St
Flint, MI 48503
Phone (810) 234-3603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1433376000000",
"number": "1205216371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 N GRAND TRAVERSE ST",
"city": "FLINT",
"state": "MI",
"postal_code": "485031312",
"telephone_number": "810-234-3603",
"fax_number": "810-232-3416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 N GRAND TRAVERSE ST",
"city": "FLINT",
"state": "MI",
"postal_code": "485031312",
"telephone_number": "810-234-3603",
"fax_number": "810-232-3416"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHALEY CHILDREN'S CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-04",
"last_updated": "2015-06-04",
"status": "A",
"authorized_official_last_name": "ROACH",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "810-234-3603",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": "MI",
"license": "CI250201313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.