Organization Active NPI

Community Programs Inc

  • Skilled Nursing Facility
  • Pontiac, MI
National Provider Identifier
1508027475
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
4704197314 Issued in MI
Legal business name
COMMUNITY PROGRAMS INC
Practice address
540 Boyd St
Pontiac, MI 48342
Phone
(248) 276-0578
NPI assigned
Jun 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Mrs. Royalla Enest Ross
Title
Register Nurse
Phone
(248) 276-0578

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 4704197314 MI Primary

Addresses

Primary practice location

540 Boyd St
Pontiac, MI 48342

Mailing address

540 Boyd St
Pontiac, MI 48342-1982

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1508027475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 BOYD ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483421982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 BOYD ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "48342",
            "telephone_number": "248-276-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PROGRAMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "ROYALLA",
        "authorized_official_middle_name": "ENEST",
        "authorized_official_title_or_position": "REGISTER NURSE",
        "authorized_official_telephone_number": "248-276-0578",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "4704197314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.