McMaster Residential Homes, Inc

Primary specialty

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

License

AS630012284 Issued in MI

Legal business name

MCMASTER RESIDENTIAL HOMES, INC

Practice address

1710 N Pontiac TRL
Walled Lake, MI 48390-3151

Phone

(248) 310-9173

Fax

(248) 624-2269

NPI assigned

May 11, 2017

Organization subpart

No

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

Authorized official

Name

Leslie Oehring

Title

Executive Administrator

Phone

(248) 310-9173

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1235665035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 N PONTIAC TRL",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903151",
            "telephone_number": "248-310-9173",
            "fax_number": "248-624-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 N PONTIAC TRL",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903151",
            "telephone_number": "248-310-9173",
            "fax_number": "248-624-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCMASTER RESIDENTIAL HOMES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "OEHRING",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "248-310-9173"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": "AS630012284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Maroko, RPH.
• Elizabeth Kathryn Martin, NP
• Lisa Ann Martin
• David Hugh McAree, MD
• Kari McAvoy, N.P.
• Michael Patrick McNutt, D.D.S.
• Med Rent Inc
• Hanan Mehdi
• Merger Rehab Case Management
• Abigail Louise Mermuys

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Walled Lake, MI
• Providers in Walled Lake, 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 May 11, 2017; 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.