Organization Active NPI

Advance Care Incorporated

  • Psychiatric Residential Treatment Facility
  • Romulus, MI
National Provider Identifier
1518129295
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
AS820251656 Issued in MI
Legal business name
ADVANCE CARE INCORPORATED
Doing business as
Advance Care Incorporated
Practice address
34932 Ecorse Rd
Romulus, MI 48174-1642
Phone
(248) 738-4986
Fax
(248) 738-5682
NPI assigned
Jun 25, 2008
Last updated
Jun 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Mr. Nicholas L Hargress
Title
Program Director
Phone
(248) 738-4986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X AS820251656 MI Primary

Addresses

Primary practice location

34932 Ecorse Rd
Romulus, MI 48174-1642

Mailing address

PO Box 74484
Romulus, MI 48174-0484
Phone (248) 738-4986

Other names 1

  • Advance Care Incorporated Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1518129295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74484",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481740484",
            "telephone_number": "248-738-4986",
            "fax_number": "248-738-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34932 ECORSE RD",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481741642",
            "telephone_number": "248-738-4986",
            "fax_number": "248-738-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE CARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "HARGRESS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "248-738-4986",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "MI",
            "license": "AS820251656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advance Care Incorporated",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Romulus, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.