Growing Minds Learning Services, Inc.

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

License

244956 Issued in MI

Legal business name

GROWING MINDS LEARNING SERVICES, INC.

Practice address

5852 Darb Lake Dr
West Bloomfield, MI 48324-2105

Phone

(248) 763-5350

NPI assigned

Oct 14, 2008

Organization subpart

No

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

Authorized official

Name

Mr. David Palaganas Fuller, BS

Title

Founder- Educational Specialist

Phone

(248) 854-3699

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1457503088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5852 DARB LAKE DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483242105",
            "telephone_number": "248-763-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5852 DARB LAKE DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483242105",
            "telephone_number": "248-763-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWING MINDS LEARNING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "PALAGANAS",
        "authorized_official_title_or_position": "FOUNDER- EDUCATIONAL SPECIALIST",
        "authorized_official_telephone_number": "248-854-3699",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "MI",
            "license": "244956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Child Intellectual and/or Developmental Disabilities Respite Care in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.