Miller & Moss Afc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

AS820295801 Issued in MI

Legal business name

MILLER & MOSS AFC

Practice address

3638 Irene St
Inkster, MI 48141-2127

Phone

(734) 405-0846

Fax

(734) 895-8873

NPI assigned

Sep 6, 2018

Organization subpart

No

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

Authorized official

Name

Charise Muhammad

Title

Vice President

Phone

(313) 758-8075

Specialties & licenses 2

Addresses

Other names 1

• Rose's Place II Doing business as

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536192000000",
    "number": "1225511157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 IRENE ST",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481412124",
            "telephone_number": "734-721-9630",
            "fax_number": "734-895-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3638 IRENE ST",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481412127",
            "telephone_number": "734-405-0846",
            "fax_number": "734-895-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER & MOSS AFC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A",
        "authorized_official_last_name": "MUHAMMAD",
        "authorized_official_first_name": "CHARISE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "313-758-8075"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MI",
            "license": "AS820295801",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": "AS820295801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rose's Place II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anita H Mendoza, LCSW
• Lisa Messina
• Metonic Services LTD
• Michigan Mental and Behavioral Health Services
• Millennium Specialty LTC
• Asia Miller
• Ava Mignon Miller
• Erika Miller
• Milqcare
• Claire Minneboo

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Inkster, MI
• Providers in Inkster, MI by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.