Organization Active NPI

Charles and Rose Kelley Open Arms

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Saginaw, MI
National Provider Identifier
1316393408
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
CI730338770 Issued in MI
Legal business name
CHARLES AND ROSE KELLEY OPEN ARMS
Practice address
718 Somerset Rd
Saginaw, MI 48638-6262
Phone
(989) 714-2925
NPI assigned
May 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Authorized official

Name
Rahmaan N'Kosi Kelley, MAOM
Title
Director/ Licensee
Phone
(989) 714-2925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X CI730338770 MI Primary

Addresses

Primary practice location

718 Somerset Rd
Saginaw, MI 48638-6262

Mailing address

718 Somerset Rd
Saginaw, MI 48638-6262
Phone (989) 714-2925

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462752000000",
    "number": "1316393408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 SOMERSET RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486386262",
            "telephone_number": "989-714-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 SOMERSET RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486386262",
            "telephone_number": "989-714-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES AND ROSE KELLEY OPEN ARMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-05-09",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "RAHMAAN",
        "authorized_official_middle_name": "N'KOSI",
        "authorized_official_title_or_position": "DIRECTOR/ LICENSEE",
        "authorized_official_telephone_number": "989-714-2925",
        "authorized_official_credential": "MAOM"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "MI",
            "license": "CI730338770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; 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.