NPIMap

Organization Active NPI

Flatrock Manor of Burton Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Burton, MI
National Provider Identifier
1336690866
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
AL250314581 Issued in MI
Legal business name
FLATROCK MANOR OF BURTON INC
Practice address
1345 Connell St
Burton, MI 48529-2201
Phone
(810) 743-7697
Fax
(810) 743-7370
NPI assigned
Oct 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Authorized official

Name
Mr. Nicholas David Burnett
Title
President
Phone
(810) 964-1430

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X AL250314581 MI Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X AL250312953 MI

Addresses

Primary practice location

1345 Connell St
Burton, MI 48529-2201

Mailing address

1345 Connell St
Burton, MI 48529-2201
Phone (810) 743-7697

Other names 1

  • gsm inc Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
GSM Inc - East2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1336690866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 CONNELL ST",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485292201",
            "telephone_number": "810-743-7697",
            "fax_number": "810-743-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 CONNELL ST",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485292201",
            "telephone_number": "810-743-7697",
            "fax_number": "810-743-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLATROCK MANOR OF BURTON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-964-1430",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": "AL250314581",
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": "AL250312953",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "gsm inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Burton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.