Active NPI
Just US Club
- Respite Care
- Ann Arbor, MI
National Provider Identifier
1326579269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- License
- DC810020456
- 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, 2017
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.