Organization Active NPI

Marquette Adult Day Services

  • Respite Care
  • Marquette, MI
National Provider Identifier
1629390943
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
MARQUETTE ADULT DAY SERVICES
Practice address
120 N Front St
Marquette, MI 49855-4337
Phone
(906) 226-2142
NPI assigned
Mar 1, 2010
Last updated
Mar 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

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

Authorized official

Name
Amy Mattson
Title
Executive Director
Phone
(906) 226-2142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X MI Primary

Addresses

Primary practice location

120 N Front St
Marquette, MI 49855-4337

Mailing address

120 N Front St
Marquette, MI 49855-4337
Phone (906) 226-2142

National Provider Directory

National Provider Directory

Locations

120 N Front St
Marquette, MI 49855
Phone (906) 226-2142

NPI Registry JSON

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267401600000",
    "number": "1629390943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N FRONT ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554337",
            "telephone_number": "906-226-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N FRONT ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554337",
            "telephone_number": "906-226-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARQUETTE ADULT DAY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-01",
        "last_updated": "2010-03-01",
        "status": "A",
        "authorized_official_last_name": "MATTSON",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "906-226-2142"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; 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.