Active NPI
Communicare Michigan, LLC.
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Troy, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- COMMUNICARE MICHIGAN, LLC.
- Practice address
- 2501 Rochester CT
Troy, MI 48083-1875 - Phone
- (248) 212-8891
- NPI assigned
- Jan 6, 2011
- 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
- Dr. Kristen Husted
- Title
- Coo
- Phone
- (248) 212-8891
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
2501 Rochester CT
Troy, MI 48083-1875
Mailing address
PO Box 2712
Birmingham, MI 48012-2712
Phone (248) 212-8891
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Communicare Michigan LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmentally Disabled Services Day Training Agency
- Rochester, MI
- NPI 1023407939
Locations
230 E Harrison Ave
Royal Oak, MI 48067
Phone (810) 955-4320
2501 Rochester Ct
Troy, MI 48083
Phone (248) 212-8891
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Rochester Hills, MI
- NPI 1700269719
-
- Occupational Therapist
- Birmingham, MI
- NPI 1316737026
-
- Clinical Psychologist
- Troy, MI
- NPI 1790549426
-
- Physical Therapist
- Sterling Heighs, MI
- NPI 1013410950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626220800000",
"number": "1609170505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2712",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "480122712",
"telephone_number": "248-212-8891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 ROCHESTER CT",
"city": "TROY",
"state": "MI",
"postal_code": "480831875",
"telephone_number": "248-212-8891"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNICARE MICHIGAN, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-06",
"last_updated": "2021-07-14",
"certification_date": "2021-07-14",
"status": "A",
"authorized_official_last_name": "HUSTED",
"authorized_official_first_name": "KRISTEN",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "248-212-8891",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.