Organization Active NPI

The Manor

  • Developmentally Disabled Services Day Training Agency
  • Jonesville, MI
National Provider Identifier
1366495582
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
6356654 Issued in MI
Legal business name
THE MANOR
Practice address
115 East St
Jonesville, MI 49250-1007
Phone
(517) 849-2151
Fax
(517) 849-2880
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Fred Prasser
Title
President/Ceo
Phone
(517) 849-2151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 6356654 MI Primary

Addresses

Primary practice location

115 East St
Jonesville, MI 49250-1007

Mailing address

115 East St
P.O. Box 98
Jonesville, MI 49250-1007
Phone (517) 849-2151

Other identifiers 1

IdentifierTypeStateIssuer
0320340MedicaidMI

Other names 1

  • Montgomery House Other name

National Provider Directory

National Provider Directory
Tax ID family
Francis C Pasley5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366495582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 EAST ST",
            "address_2": "P.O. BOX 98",
            "city": "JONESVILLE",
            "state": "MI",
            "postal_code": "492501007",
            "telephone_number": "517-849-2151",
            "fax_number": "517-849-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 EAST ST",
            "city": "JONESVILLE",
            "state": "MI",
            "postal_code": "492501007",
            "telephone_number": "517-849-2151",
            "fax_number": "517-849-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRASSER",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "517-849-2151",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MI",
            "license": "6356654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0320340",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montgomery House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jonesville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.