Organization Active NPI

Wisdom Ranch

  • Community/Behavioral Health Agency
  • Emmett, MI
National Provider Identifier
1306272091
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WISDOM RANCH
Practice address
11009 Foley Rd
Emmett, MI 48022-2004
Phone
(810) 650-4084
NPI assigned
Sep 25, 2013
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Delena Kay Austin
Title
President
Phone
(810) 650-4084

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

11009 Foley Rd
Emmett, MI 48022-2004

Mailing address

11009 Foley Road
Emmett, MI 48022
Phone (810) 650-4084

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 25, 2013.

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1306272091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11009 FOLEY ROAD",
            "city": "EMMETT",
            "state": "MI",
            "postal_code": "48022",
            "telephone_number": "810-650-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11009 FOLEY RD",
            "city": "EMMETT",
            "state": "MI",
            "postal_code": "480222004",
            "telephone_number": "810-650-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISDOM RANCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "DELENA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-650-4084",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emmett, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.