NPIMap

Organization Active NPI

Savannah Specialized Room & Board

  • Point of Service
  • Highland Park, MI
National Provider Identifier
1295155448
Registry record updated Apr 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
SAVANNAH SPECIALIZED ROOM & BOARD
Practice address
169 Cortland St
Highland Park, MI 48203-3510
Phone
(313) 731-7166
NPI assigned
Apr 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2014

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

Authorized official

Name
Tracee Lynn Bates, MBA
Title
Manager
Phone
(313) 731-7166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X Primary

Addresses

Primary practice location

169 Cortland St
Highland Park, MI 48203-3510

Mailing address

169 Cortland St
Highland Park, MI 48203-3510
Phone (313) 731-7166

National Provider Directory

National Provider Directory
Tax ID family
Savannah Specialized Room Board2 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.

NPI Registry JSON

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398384000000",
    "number": "1295155448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 CORTLAND ST",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482033510",
            "telephone_number": "313-731-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 CORTLAND ST",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482033510",
            "telephone_number": "313-731-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVANNAH SPECIALIZED ROOM & BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-25",
        "last_updated": "2014-04-25",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "TRACEE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "313-731-7166",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; 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.