Organization Active NPI

Life Challenge of Michigan

  • Substance Abuse Rehabilitation Facility
  • Hillsdale, MI
National Provider Identifier
1508170978
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
300031 Issued in MI
Legal business name
LIFE CHALLENGE OF MICHIGAN
Practice address
2220 Spring Rd
Hillsdale, MI 49242-9411
Phone
(517) 437-0077
NPI assigned
Jul 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Authorized official

Name
Jack Mosley
Title
Executive Director
Phone
(517) 437-0077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 300031 MI Primary

Addresses

Primary practice location

2220 Spring Rd
Hillsdale, MI 49242-9411

Mailing address

2220 Spring Road
Hillsdale, MI 49242

National Provider Directory

National Provider Directory

Locations

2220 Spring Rd
Hillsdale, MI 49242
Phone (517) 437-0077

NPI Registry JSON

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1508170978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 SPRING ROAD",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "49242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 SPRING RD",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492429411",
            "telephone_number": "517-437-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHALLENGE OF MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-28",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "MOSLEY",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "517-437-0077"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MI",
            "license": "300031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsdale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.