Community Enterprises of St. Clair County

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

COMMUNITY ENTERPRISES OF ST. CLAIR COUNTY

Practice address

1033 26TH St
Port Huron, MI 48060-4853

Phone

(810) 982-3261

Fax

(810) 982-2225

NPI assigned

Oct 4, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Mychal Lee Fearncombe

Title

Associate Director

Phone

(810) 982-3261

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1598049934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 26TH ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480604853",
            "telephone_number": "810-982-3261",
            "fax_number": "810-982-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 26TH ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480604853",
            "telephone_number": "810-982-3261",
            "fax_number": "810-982-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ENTERPRISES OF ST. CLAIR COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "FEARNCOMBE",
        "authorized_official_first_name": "MYCHAL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR",
        "authorized_official_telephone_number": "810-982-3261",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Developmentally Disabled Services Day Training Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.