Flat Rock Community Services

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

FLAT ROCK COMMUNITY SERVICES

Practice address

7353 County Road 29
Flat Rock, OH 44828

Phone

(419) 483-7330

Fax

(419) 483-5616

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Nancy S. Hull, M. DIV

Title

Presidentceo

Phone

(419) 483-7330

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417017690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7353 COUNTY ROAD 29",
            "address_2": "PO BOX 1",
            "city": "FLAT ROCK",
            "state": "OH",
            "postal_code": "44828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7353 COUNTY ROAD 29",
            "city": "FLAT ROCK",
            "state": "OH",
            "postal_code": "44828",
            "telephone_number": "419-483-7330",
            "fax_number": "419-483-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAT ROCK COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HULL",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENTCEO",
        "authorized_official_telephone_number": "419-483-7330",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M. DIV"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7400388",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Flat Rock Care Center

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Flat Rock, OH
• Providers in Flat Rock, OH by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Ohio

• 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.