Active NPI
Alternative Community Living, Inc.
- Community/Behavioral Health Agency
- Jackson, MI
National Provider Identifier
1497300313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- ALTERNATIVE COMMUNITY LIVING, INC.
- Practice address
- 950 W Monroe St
Jackson, MI 49202-2079 - Phone
- (517) 945-5632
- NPI assigned
- Aug 7, 2019
- Organization subpart
- Yes
- Parent organization
- ALTERNATIVE COMMUNITY LIVING, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy Becker
- Title
- Chief Operating Officer
- Phone
- (616) 301-8000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
950 W Monroe St
Jackson, MI 49202-2079
Mailing address
3075 Orchard Vista Dr SE
Grand Rapids, MI 49546-7069
Phone (616) 301-8000
Other names 1
- HOPE NETWORK - NEW PASSAGES
National Provider Directory
National Provider Directory- Tax ID family
- Alternative Community Inc
- Part of
- Alternative Community Inc
Other organizations with this tax ID 27
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631145600000",
"number": "1497300313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3075 ORCHARD VISTA DR SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495467069",
"telephone_number": "616-301-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 W MONROE ST",
"city": "JACKSON",
"state": "MI",
"postal_code": "492022079",
"telephone_number": "517-945-5632"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALTERNATIVE COMMUNITY LIVING, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ALTERNATIVE COMMUNITY LIVING, INC.",
"enumeration_date": "2019-08-07",
"last_updated": "2021-09-09",
"certification_date": "2021-09-09",
"status": "A",
"authorized_official_last_name": "BECKER",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "616-301-8000"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "HOPE NETWORK - NEW PASSAGES",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.