Organization Active NPI

Community Programs, Inc.

  • Substance Abuse Rehabilitation Facility
  • Waterford, MI
National Provider Identifier
1295031383
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
6801090047 Issued in MI
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

Updated by the provider on Jun 12, 2023

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.