NPIMap

Organization Active NPI

Jackson Ramey Rogers Diversified Services

  • Mental Illness Community Based Residential Treatment Facility
  • Oak Park, MI
National Provider Identifier
1306230875
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
AS630360466 Issued in MI
Legal business name
JACKSON RAMEY ROGERS DIVERSIFIED SERVICES
Practice address
23731 Radclift St
Oak Park, MI 48237-1931
Phone
(248) 242-0536
NPI assigned
Mar 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2015

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

Authorized official

Name
Mr. Donnelle D. Ramey
Title
Administrator
Phone
(248) 242-0536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X AS630360466 MI Primary

Addresses

Primary practice location

23731 Radclift St
Oak Park, MI 48237-1931

Mailing address

PO Box 37204
Oak Park, MI 48237-0204
Phone (242) 242-0536

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1306230875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37204",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482370204",
            "telephone_number": "242-242-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23731 RADCLIFT ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371931",
            "telephone_number": "248-242-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON RAMEY ROGERS DIVERSIFIED SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "RAMEY",
        "authorized_official_first_name": "DONNELLE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-242-0536",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MI",
            "license": "AS630360466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.