NPIMap

Organization Active NPI

Porter Place

  • Foster Care Agency
  • Grand Blanc, MI
National Provider Identifier
1417108473
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
AF250088873 Issued in MI
Legal business name
PORTER PLACE
Practice address
6191 Porter Rd
Grand Blanc, MI 48439-8540
Phone
(810) 603-1393
Fax
(810) 603-1394
NPI assigned
Oct 8, 2008
Last updated
Oct 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Authorized official

Name
Daniel S. BurnettNPI 1053824516
Title
Manager
Phone
(810) 603-1393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X AF250088873 MI Primary

Addresses

Primary practice location

6191 Porter Rd
Grand Blanc, MI 48439-8540

Mailing address

6191 Porter Rd
Grand Blanc, MI 48439-8540
Phone (810) 603-1393

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1417108473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6191 PORTER RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398540",
            "telephone_number": "810-603-1393",
            "fax_number": "810-603-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6191 PORTER RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398540",
            "telephone_number": "810-603-1393",
            "fax_number": "810-603-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTER PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "810-603-1393"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "MI",
            "license": "AF250088873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.