NPIMap

Organization Active NPI

Ann Arbor Center for Independent Living

  • In Home Supportive Care Agency
  • Ann Arbor, MI
National Provider Identifier
1417197252
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ANN ARBOR CENTER FOR INDEPENDENT LIVING
Practice address
3941 Research Park Drive
Ann Arbor, MI 48108-2215
Phone
(734) 971-0277
Fax
(734) 971-0826
NPI assigned
Mar 5, 2009
Last updated
Mar 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Authorized official

Name
Mr. Lewis Alexander GossageNPI 1326762782
Title
Executive Director, Interim
Phone
(734) 971-0277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Clinical Social Worker 1041C0700X 6801062814 MI
Clinical Social Worker 1041C0700X 6801067044 MI
Clinical Social Worker 1041C0700X 6801089981 MI
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3941 Research Park Drive
Ann Arbor, MI 48108-2215

Mailing address

3941 Research Park Drive
Ann Arbor, MI 48108-2215
Phone (734) 971-0277

National Provider Directory

National Provider Directory

Locations

3941 Research Park Dr
Ann Arbor, MI 48108
Phone (734) 682-5271

Practitioners & affiliated clinicians

Practitioners 4

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": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1417197252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 RESEARCH PARK DRIVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082215",
            "telephone_number": "734-971-0277",
            "fax_number": "734-971-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3941 RESEARCH PARK DRIVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082215",
            "telephone_number": "734-971-0277",
            "fax_number": "734-971-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN ARBOR CENTER FOR INDEPENDENT LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "GOSSAGE",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR, INTERIM",
        "authorized_official_telephone_number": "734-971-0277",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801062814",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801067044",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801089981",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.