Chamberlain House Inc

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

AG630000027 Issued in MI

Legal business name

CHAMBERLAIN HOUSE INC

Practice address

121 Chamberlain St
Pontiac, MI 48342-1475

Phone

(248) 335-1370

NPI assigned

May 3, 2017

Last updated

May 3, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janan Kallabat

Title

Administrator

Phone

(248) 335-1370

Specialties & licenses 1

Addresses

Other names 1

• Parents Foundation for the Mentally Retarted Former legal business name

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1407382922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 CHAMBERLAIN ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483421475",
            "telephone_number": "248-335-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CHAMBERLAIN ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483421475",
            "telephone_number": "248-335-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMBERLAIN HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "KALLABAT",
        "authorized_official_first_name": "JANAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-335-1370"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "MI",
            "license": "AG630000027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parents Foundation for the Mentally Retarted",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ugne Cerna, MD
• Wendy Lorraine Chacon
• Vrikshajanani Chakravarthy, MD
• Hima Jyothi Challa, MD
• David Challender
• Meka Renee Chambers
• Marilyn Chandross, NP
• Shreepal Chanduri, PT
• Brian Chang, D.D.S.
• James L Chang, DDS

• Foster Care Agency in Pontiac, MI
• Providers in Pontiac, 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 May 3, 2017; 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.