Organization Active NPI

Just US Club

  • Respite Care
  • Ann Arbor, MI
National Provider Identifier
1326579269
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
DC810020456 Issued in MI
Legal business name
JUST US CLUB
Practice address
1735 S Wagner Rd
Ann Arbor, MI 48103-9715
Phone
(734) 678-0840
NPI assigned
Mar 22, 2017
Last updated
Mar 22, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Authorized official

Name
Ms. Marilyn S Johnston
Title
Director
Phone
(734) 678-0840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X DC810020456 MI Primary

Addresses

Primary practice location

1735 S Wagner Rd
Ann Arbor, MI 48103-9715

Mailing address

PO Box 2688
Ann Arbor, MI 48106-2688
Phone (734) 678-0840

National Provider Directory

National Provider Directory

Locations

1735 S Wagner Rd
Ann Arbor, MI 48103
Phone (734) 678-0840

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1326579269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2688",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481062688",
            "telephone_number": "734-678-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 S WAGNER RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039715",
            "telephone_number": "734-678-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST US CLUB",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-22",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "734-678-0840",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "MI",
            "license": "DC810020456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.