NPIMap

Organization Active NPI

Centria Healthcare

  • Developmentally Disabled Services Day Training Agency
  • Taylor, MI
National Provider Identifier
1649677873
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
5202001741 Issued in MI
Legal business name
CENTRIA HEALTHCARE
Practice address
7893 Harding St
Taylor, MI 48180-2535
Phone
(313) 316-0923
NPI assigned
Dec 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Authorized official

Name
Mrs. Marianne Denise Roden, COTA/LNPI 1154714178
Title
Cota/L
Phone
(313) 316-0923

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 5202001741 MI Primary
Clinic/Center 261Q00000X 5202001741 MI

Addresses

Primary practice location

7893 Harding St
Taylor, MI 48180-2535

Mailing address

7893 Harding St
Taylor, MI 48180-2535
Phone (313) 316-0923

Other identifiers 2

IdentifierTypeStateIssuer
5202001741OtherMIALL OTHER INSURANCE COMPANY
5202001741MedicaidMI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1649677873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7893 HARDING ST",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481802535",
            "telephone_number": "313-316-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7893 HARDING ST",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481802535",
            "telephone_number": "313-316-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRIA HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-03",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "RODEN",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "COTA/L",
        "authorized_official_telephone_number": "313-316-0923",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "COTA/L"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MI",
            "license": "5202001741",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "5202001741",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL OTHER INSURANCE COMPANY",
            "identifier": "5202001741",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5202001741",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.