Organization Active NPI

Merriman Adult Foster Care

  • Developmentally Disabled Services Day Training Agency
  • Flint, MI
National Provider Identifier
1215968268
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
MERRIMAN ADULT FOSTER CARE
Practice address
1405 Watch Hill Dr
Flint, MI 48507-5625
Phone
(810) 238-9416
NPI assigned
Jul 6, 2006
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. Michael Roland Merriman
Title
Owner
Phone
(810) 238-9416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X MI Primary

Addresses

Primary practice location

1405 Watch Hill Dr
Flint, MI 48507-5625

Mailing address

1405 Watch Hill Dr
Flint, MI 48507-5625
Phone (810) 238-9416

Other identifiers 1

IdentifierTypeStateIssuer
4588749OtherMIMICH. F.I.A.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215968268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 WATCH HILL DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485075625",
            "telephone_number": "810-238-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 WATCH HILL DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485075625",
            "telephone_number": "810-238-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRIMAN ADULT FOSTER CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MERRIMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ROLAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "18102389416",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICH. F.I.A.",
            "identifier": "4588749",
            "state": "MI"
        }
    ],
    "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 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.