Rising Stars Academy

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

RISING STARS ACADEMY

Practice address

23855 Lawrence
Center Line, MI 48015-1083

Phone

(586) 806-6455

Fax

(586) 806-6967

NPI assigned

Jun 27, 2016

Organization subpart

No

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

Authorized official

Name

Deborah M PrentissNPI 1689114811

Title

Superintendent

Phone

(586) 405-9473

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deborah Prentiss

  • Student in an Organized Health Care Education/Training Program
  • Center Line, MI
  • NPI 1689114811
  NPD (past) Authorized official

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1467803890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23855 LAWRENCE",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151083",
            "telephone_number": "586-806-6455",
            "fax_number": "586-806-6967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23855 LAWRENCE",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151083",
            "telephone_number": "586-806-6455",
            "fax_number": "586-806-6967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING STARS ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "PRENTISS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "586-405-9473"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Reddick, LLMSW
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• Waleed Rhebi
• Kimone Richards
• Shanyn Riehle
• Rite Aid of Michigan Inc (Rite Aid Pharmacy 04897)
• Kimberlee Ann Rivera
• Amanda M Roberts
• Bryant James Roberts, PHARMD
• Glenda Robinson

• Developmentally Disabled Services Day Training Agency in Center Line, MI
• Providers in Center Line, MI by specialty
• Developmentally Disabled Services Day Training Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.