Bentley Manor, Inc.

Primary specialty

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

License

AS250010929 Issued in MI

Legal business name

BENTLEY MANOR, INC.

Practice address

2099 W Wilson Rd
Clio, MI 48420-1603

Phone

(810) 686-4858

Fax

(810) 686-4674

NPI assigned

Oct 17, 2008

Last updated

Oct 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa Marie Bentley, BBANPI 1932313756

Title

Licensee / Ceo

Phone

(810) 686-4858

Specialties & licenses 1

Addresses

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.

• Melissa Marie Bentley

  • Contractor
  • Clio, MI
  • NPI 1932313756
  NPD (past) Authorized official

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1255583530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2099 W WILSON RD",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484201603",
            "telephone_number": "810-686-4858",
            "fax_number": "810-686-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2099 W WILSON RD",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484201603",
            "telephone_number": "810-686-4858",
            "fax_number": "810-686-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENTLEY MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-17",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "BENTLEY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LICENSEE / CEO",
        "authorized_official_telephone_number": "810-686-4858",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BBA"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": "AS250010929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley Bedford-Hanchett, PT, CHT
• Belill Eye Care, PLC.
• Nicholas Michael Belill, O.D.
• Emma Benner
• Victor Benson
• Melissa Marie Bentley
• Heather Kaye Birchmeier
• Margaret Marie Blasdell
• Jennifer Lynn Bobeda-Berney, PTA
• Erin Boensch, PA-C

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Clio, MI
• Providers in Clio, 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 Oct 17, 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.