Hackley Community Care Center, Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

HACKLEY COMMUNITY CARE CENTER, INC

Doing business as

Beach Elementary School

Practice address

2741 Heights Ravenna Rd
Muskegon, MI 49444-3485

Phone

(231) 773-8996

NPI assigned

Oct 8, 2026

Last updated

Oct 8, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katie Mosley

Title

Billing Manager

Phone

(231) 733-6876

Specialties & licenses 1

Addresses

Other names 1

• Beach Elementary School Doing business as

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

{
    "created_epoch": "1791417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791417600000",
    "number": "1548164833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 BAKER ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494442157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 HEIGHTS RAVENNA RD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494443485",
            "telephone_number": "231-773-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKLEY COMMUNITY CARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-08",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A",
        "authorized_official_last_name": "MOSLEY",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "231-733-6876"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beach Elementary School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Hackley Community Care Center, Inc (Three Oaks Charter Academy)
• Hackley Community Care Center, Inc (Dr. Martin Luther King Academy)
• Hackley Community Care Center, Inc (Shettler Elementary School)
• Hackley Health Management

• Federally Qualified Health Center (FQHC) in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Federally Qualified Health Center (FQHC) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.