Organization Active NPI

Preferred Employment & Living Supports

  • Community/Behavioral Health Agency
  • Muskegon, MI
National Provider Identifier
1467823054
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PREFERRED EMPLOYMENT & LIVING SUPPORTS
Practice address
1205 Peck St
Muskegon, MI 49441-2121
Phone
(231) 747-8650
Fax
(231) 395-5915
NPI assigned
Oct 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Authorized official

Name
Mr. David BetlejewskiNPI 1326415738
Title
Treasurer
Phone
(231) 747-8650

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1205 Peck St
Muskegon, MI 49441-2121

Mailing address

1205 Peck St
Muskegon, MI 49441-2121
Phone (231) 747-8650

National Provider Directory

National Provider Directory

Locations

1205 Peck St
Muskegon, MI 49441
Phone (231) 747-8650

1735 Peck St
Muskegon, MI 49441
Phone (231) 722-8500

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1467823054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 PECK ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494412121",
            "telephone_number": "231-747-8650",
            "fax_number": "231-395-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 PECK ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494412121",
            "telephone_number": "231-747-8650",
            "fax_number": "231-395-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED EMPLOYMENT & LIVING SUPPORTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-08",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "BETLEJEWSKI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "231-747-8650",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.