Active NPI
Michael Scott Whaley
- Adult Care Home Facility
- Honor, MI
National Provider Identifier
1649548389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- AF100088670
- Practice address
- 3584 Valley Rd
Honor, MI 49640-9426 - Phone
- (231) 325-2162
- NPI assigned
- Dec 8, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | AF100088670 | MI | Primary |
Addresses
Primary practice location
3584 Valley Rd
Honor, MI 49640-9426
Mailing address
3584 Valley Rd
Honor, MI 49640-9426
Phone (231) 325-2162
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AF100088670 | Other | MI | ADULT FOSTER CARE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AF100088670 | MI | MD | Adult Care Home Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323302400000",
"number": "1649548389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3584 VALLEY RD",
"city": "HONOR",
"state": "MI",
"postal_code": "496409426",
"telephone_number": "231-325-2162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3584 VALLEY RD",
"city": "HONOR",
"state": "MI",
"postal_code": "496409426",
"telephone_number": "231-325-2162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHALEY",
"first_name": "MICHAEL",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-08",
"last_updated": "2011-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "MI",
"license": "AF100088670",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADULT FOSTER CARE LICENSE NUMBER",
"identifier": "AF100088670",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Honor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.