NPIMap

Organization Active NPI

Family Support Services for Mental Recovery

  • Child Mental Illness Respite Care
  • Flint, MI
National Provider Identifier
1366694945
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Mental Illness Respite CareTaxonomy code 385HR2055X
License
AS250010767 Issued in MI
Legal business name
FAMILY SUPPORT SERVICES FOR MENTAL RECOVERY
Practice address
G3445 Mackin Rd
Flint, MI 48504-3280
Phone
(810) 732-9160
Fax
(810) 732-9060
NPI assigned
Oct 15, 2008
Last updated
Oct 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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

Authorized official

Name
Carol Freeman
Title
Home Provider
Phone
(810) 732-9160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Mental Illness Respite Care 385HR2055X AS250010767 MI Primary

Addresses

Primary practice location

G3445 Mackin Rd
Flint, MI 48504-3280

Mailing address

G3445 Mackin Rd
Flint, MI 48504-3280
Phone (810) 732-9160

National Provider Directory

National Provider Directory
Tax ID family
Family Support Services for Mental Recovery2 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": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1366694945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G3445 MACKIN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485043280",
            "telephone_number": "810-732-9160",
            "fax_number": "810-732-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3445 MACKIN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485043280",
            "telephone_number": "810-732-9160",
            "fax_number": "810-732-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SUPPORT SERVICES FOR MENTAL RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "HOME PROVIDER",
        "authorized_official_telephone_number": "810-732-9160"
    },
    "taxonomies": [
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "MI",
            "license": "AS250010767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; 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.