Organization Active NPI

State of Michigan

Doing business as Mt Pleasant Center

  • Long Term Care Hospital
  • Mt Pleasant, MI
National Provider Identifier
1235208182
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
5301001112 Issued in MI
Legal business name
STATE OF MICHIGAN
Doing business as
Mt Pleasant Center
Practice address
1400 W Pickard St
Mt Pleasant, MI 48858-1364
Phone
(989) 773-7921
NPI assigned
Nov 7, 2006
Last updated
Jul 23, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
STATE OF MICHIGANAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Cynthia Kelly
Title
Director of Hospital - Cneters
Phone
(517) 335-0263

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 5301001112 MI Primary
Long Term Care Pharmacy 3336L0003X 5301001112 MI

Addresses

Primary practice location

1400 W Pickard St
Mt Pleasant, MI 48858-1364

Mailing address

P.O. Box 30437
Lansing, MI 48909-7937
Phone (517) 335-8245

Other identifiers 3

IdentifierTypeStateIssuer
2318687OtherOTHER ID NUMBER-COMMERCIAL NUMBER
2085384MedicaidMI
2318687OtherOTHER ID NUMBER

Other names 1

  • Mt Pleasant Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northville Psychiatric15 organizations share this tax ID, including this one
Part of
Northville Psychiatric

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1235208182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 30437",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489097937",
            "telephone_number": "517-335-8245",
            "fax_number": "517-335-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W PICKARD ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488581364",
            "telephone_number": "989-773-7921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF MICHIGAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF MICHIGAN",
        "enumeration_date": "2006-11-07",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "DIRECTOR OF HOSPITAL - CNETERS",
        "authorized_official_telephone_number": "517-335-0263"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "MI",
            "license": "5301001112",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MI",
            "license": "5301001112",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2318687",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2085384",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2318687",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt Pleasant Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.