Active NPI
Life Challenge of Michigan
- Substance Abuse Rehabilitation Facility
- Hillsdale, MI
National Provider Identifier
1508170978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 300031
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.