NPIMap

Organization Active NPI

Paige Supervised Community Living, Inc

  • Adult Care Home Facility
  • Flint, MI
National Provider Identifier
1639436272
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
AM250008195 Issued in MI
Legal business name
PAIGE SUPERVISED COMMUNITY LIVING, INC
Practice address
3472 W Pasadena Ave
Flint, MI 48504-2353
Phone
(810) 732-6485
Fax
(810) 732-6518
NPI assigned
Apr 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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

Authorized official

Name
Mrs. Anna Paige
Title
Owner/Vice President
Phone
(810) 732-6485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X AM250008195 MI Primary

Addresses

Primary practice location

3472 W Pasadena Ave
Flint, MI 48504-2353

Mailing address

3472 W Pasadena Ave
Flint, MI 48504-2353
Phone (810) 732-6485

National Provider Directory

National Provider Directory
Tax ID family
Paige Supervised Community Living Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1639436272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3472 W PASADENA AVE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485042353",
            "telephone_number": "810-732-6485",
            "fax_number": "810-732-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3472 W PASADENA AVE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485042353",
            "telephone_number": "810-732-6485",
            "fax_number": "810-732-6518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIGE SUPERVISED COMMUNITY LIVING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-20",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "PAIGE",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OWNER/VICE PRESIDENT",
        "authorized_official_telephone_number": "810-732-6485",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AM250008195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; 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.