Kindred Spirit

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

AM250273429 Issued in MI

Legal business name

KINDRED SPIRIT

Practice address

2320 W Dodge Rd
Clio, MI 48420-1664

Phone

(810) 686-1710

Fax

(810) 686-8939

NPI assigned

Mar 27, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Lois Montague

Title

House Parent

Phone

(810) 686-1710

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Kindred Spirit2 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.

• Kindred Spirit

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Clio, MI
  • NPI 1144472721
  NPD tax ID

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1376819110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 W DODGE RD",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484201664",
            "telephone_number": "810-686-1710",
            "fax_number": "810-686-8939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 W DODGE RD",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484201664",
            "telephone_number": "810-686-1710",
            "fax_number": "810-686-8939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED SPIRIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "MONTAGUE",
        "authorized_official_first_name": "LOIS",
        "authorized_official_title_or_position": "HOUSE PARENT",
        "authorized_official_telephone_number": "810-686-1710",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AM250273429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "366-46-3608-C1",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anu Joseph
• Matthew Kanelos, PA-C
• Edwin Richard Kaput, D.C.
• Alexander Francis Keinath, DPT
• Kindred Spirit
• Joshua Adam Klamert, RRT
• Kathryn Sue Klamert, O.T.R., C.H.T.
• Greeta Christine Kohn, OTR
• Lambros N Kottalis, D.C.
• Cindy Ann Krcmarik

• Adult Care Home Facility in Clio, MI
• Providers in Clio, MI by specialty
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.