Organization Active NPI

Supportive Alternative Living

  • Exclusive Provider Organization
  • Milford, MI
National Provider Identifier
1649706284
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
SUPPORTIVE ALTERNATIVE LIVING
Practice address
425 W Huron St
Suite #130
Milford, MI 48381-2242
Phone
(248) 685-2639
Fax
(248) 685-7524
NPI assigned
May 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Authorized official

Name
Patricia H.F Peters
Title
Executive Director
Phone
(248) 685-2639

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

425 W Huron St
Suite #130
Milford, MI 48381-2242

Mailing address

425 W Huron St
Suite #130
Milford, MI 48381-2242
Phone (248) 685-2639

National Provider Directory

National Provider Directory

Locations

425 W Huron St
Ste 130
Milford, MI 48381
Phone (248) 609-6774

NPI Registry JSON

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1649706284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W HURON ST",
            "address_2": "SUITE #130",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483812242",
            "telephone_number": "248-685-2639",
            "fax_number": "248-685-7524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W HURON ST",
            "address_2": "SUITE #130",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483812242",
            "telephone_number": "248-685-2639",
            "fax_number": "248-685-7524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE ALTERNATIVE LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-02",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "H.F",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "248-685-2639"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.