Clifford LLC

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

AM250082393 Issued in MI

Legal business name

CLIFFORD LLC

Practice address

2039 Clifford St
Flint, MI 48503-4005

Phone

(810) 238-9431

Fax

(810) 238-5288

NPI assigned

Mar 15, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Susie Williams

Title

Administrator

Phone

(810) 238-9431

Specialties & licenses 1

Addresses

Other names 1

• Clifford Adult Foster Care Doing business as

Tax ID family

Clifford Adult Foster Care2 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.

• Clifford, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Flint, MI
  • NPI 1467478081
  NPD tax ID

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1366717902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1385",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485011385",
            "telephone_number": "810-238-9431",
            "fax_number": "810-238-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2039 CLIFFORD ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485034005",
            "telephone_number": "810-238-9431",
            "fax_number": "810-238-5288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFFORD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SUSIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "810-238-9431",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "MI",
            "license": "AM250082393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clifford Adult Foster Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joni Marie Clemons
• Kricynthia Clemons
• Lauren Elyse Clever, MD
• CLH Counseling Services LLC
• Stephanie Click
• Clifford, LLC
• Jason Paul Clift, DC
• Jasmine D. Clifton, LLMSW
• Shytaz Clifton
• Julie Marie Climie, CRNA

• Foster Care Agency in Flint, MI
• Providers in Flint, MI by specialty
• Foster Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.