The Arc of St. Clair County

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

THE ARC OF ST. CLAIR COUNTY

Practice address

1033 26TH St
Port Huron, MI 48060-4853

Phone

(810) 982-3261

Fax

(810) 982-2225

NPI assigned

Nov 14, 2006

Last updated

Aug 22, 2020By 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

Mr. James W. Fortushniak

Title

Executive Director

Phone

(810) 982-3261

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619049889",
    "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": "THE ARC OF ST. CLAIR COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FORTUSHNIAK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "810-982-3261",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Lynn Terhune
• Hilary Lyn Tesluck
• Lisa Thacker
• Shawn Lamont Thacker
• Mina Thammavongsa
• The Council on Aging, Inc., Serving St. Clair County
• Marinus A Thoen
• Brittney Thomas
• Kelly Thomas, MSN, AGPCNP-C
• Kimberly Sue Thomas, PRC

• 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 Aug 22, 2020; 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.