Active NPI
Community Programs, Inc.
- Substance Abuse Rehabilitation Facility
- Waterford, MI
National Provider Identifier
1295031383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 6801090047
- Legal business name
- COMMUNITY PROGRAMS, INC.
- Practice address
- 269 Summit Dr
Waterford, MI 48328-3364 - Phone
- (248) 599-8999
- NPI assigned
- Feb 7, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard W. Paige
- Title
- Ceo
- Phone
- (248) 599-8999
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 6801090047 | MI | Primary |
Addresses
Primary practice location
269 Summit Dr
Waterford, MI 48328-3364
Mailing address
1255 North Oakland Blvd.
Waterford, MI 48327
Phone (248) 406-0090
Other practice location 1
1435 North Oakland Boulevard
Waterford, MI 48327
Phone (248) 818-1990 ext. 145
Other names 1
- Meridian Health Services - MAT
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200415002477 | MI | Part B Supplier - Opioid Treatment Program (Otp) | 2365741998 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Waterford, MI |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Substance Abuse Rehabilitation Facility
- Waterford, MI
- NPI 1578014940
O20200415002477
National Provider Directory
National Provider DirectoryLocations
1255 N Oakland Blvd
Waterford, MI 48327
Phone (248) 406-0090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686528000000",
"number": "1295031383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 NORTH OAKLAND BLVD.",
"city": "WATERFORD",
"state": "MI",
"postal_code": "48327",
"telephone_number": "248-406-0090",
"fax_number": "248-406-0107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "269 SUMMIT DR",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483283364",
"telephone_number": "248-599-8999"
}
],
"practiceLocations": [
{
"address_1": "1435 North Oakland Boulevard",
"address_purpose": "LOCATION",
"city": "Waterford",
"state": "MI",
"postal_code": "48327",
"country_code": "US",
"telephone_number": "248-818-1990 x145",
"fax_number": "248-406-0107",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "COMMUNITY PROGRAMS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-07",
"last_updated": "2023-06-12",
"certification_date": "2023-06-12",
"status": "A",
"authorized_official_last_name": "PAIGE",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "248-599-8999",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "MI",
"license": "6801090047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Meridian Health Services - MAT",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Meridian Health Services - MAT",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.