Wai-Iam, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

SA0330351 Issued in MI

Legal business name

WAI-IAM, INC.

Practice address

217 N Sycamore St
Lansing, MI 48933-1033

Phone

(517) 819-6569

Fax

(517) 580-7128

NPI assigned

Jul 1, 2016

Last updated

Apr 23, 2018By 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

Ms. Jacquelyn Liebner, BBA

Title

Executive Director

Phone

(517) 897-9001

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Wai-Iam Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Wai-Iam, Inc.

  dba RISE Recovery Services

  • Clinical Social Worker
  • Lansing, MI
  • NPI 1316430549
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Wai-Iam, Inc.

  dba RISE Recovery Services

  • Clinical Social Worker
  • Lansing, MI
  • NPI 1316430549
  NPPES parent name

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524441600000",
    "number": "1255783254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 N SYCAMORE ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489331033",
            "telephone_number": "517-897-9001",
            "fax_number": "517-580-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 N SYCAMORE ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489331033",
            "telephone_number": "517-819-6569",
            "fax_number": "517-580-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAI-IAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-01",
        "last_updated": "2018-04-23",
        "status": "A",
        "authorized_official_last_name": "LIEBNER",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "517-897-9001",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BBA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MI",
            "license": "M318510",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MI",
            "license": "SA0330351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPPORTIVE RECOVERY HOUSING",
            "identifier": "M318510",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anshu Wadehra, MD
• Betty Jean Wadland, CRNA
• Larry D. Wagenknecht, R.PH.
• Sydney Noelle Wagner, PA-C
• Erika L Wahonya, CMT
• Wai-Iam, Inc. (RISE Recovery Services)
• Daniel George Waites, LLMSW
• Fareha Wajid, MD
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2869)
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2867)

• Substance Abuse Rehabilitation Facility in Lansing, MI
• Providers in Lansing, MI by specialty
• Substance Abuse Rehabilitation Facility in Michigan

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