Clifford, LLC

Primary specialty

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

Legal business name

CLIFFORD, LLC

Practice address

2039 Clifford St
Flint, MI 48503-4005

Phone

(810) 238-9431

Fax

(810) 238-5288

NPI assigned

Jul 15, 2006

Last updated

Aug 22, 2020By 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

Ms. Susie M Williams

Title

Administrator/Owner

Phone

(810) 238-9431

Specialties & licenses 1

Addresses

Other names 1

• Clifford Prime Care AFC Former legal business name

Tax ID family

Clifford Adult Foster Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Clifford LLC

  dba Clifford Adult Foster Care

  • Foster Care Agency
  • Flint, MI
  • NPI 1366717902
  NPD tax ID

Locations

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467478081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1385",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485011385",
            "telephone_number": "810-238-9431",
            "fax_number": "810-238-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2039 CLIFFORD ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485034005",
            "telephone_number": "810-238-9431",
            "fax_number": "810-238-5288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFFORD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SUSIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "810-238-9431",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clifford Prime Care AFC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kricynthia Clemons
• Lauren Elyse Clever, MD
• CLH Counseling Services LLC
• Stephanie Click
• Clifford LLC (Clifford Adult Foster Care)
• Jason Paul Clift, DC
• Jasmine D. Clifton, LLMSW
• Shytaz Clifton
• Julie Marie Climie, CRNA
• Gerard Climis, DPM

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Flint, MI
• Providers in Flint, MI by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Michigan

• 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.