NPIMap

Organization Active NPI

Residential Opportunities, Inc.

Doing business as Willowbend

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Kalamazoo, MI
National Provider Identifier
1649785783
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
AS390243331 Issued in MI
Legal business name
RESIDENTIAL OPPORTUNITIES, INC.
Doing business as
Willowbend
Practice address
5081 Willowbend TRL
Kalamazoo, MI 49009-9548
Phone
(269) 375-1790
NPI assigned
Dec 12, 2017
Last updated
Dec 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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

Authorized official

Name
Rhasheda Shepherd
Title
Contract and Compliance Manager
Phone
(269) 250-8228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X AS390243331 MI Primary

Addresses

Primary practice location

5081 Willowbend TRL
Kalamazoo, MI 49009-9548

Mailing address

1100 S Rose St
Kalamazoo, MI 49001-2664
Phone (269) 250-8228

Other names 1

  • Willowbend Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Residential Opportunities Inc25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1649785783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S ROSE ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012664",
            "telephone_number": "269-250-8228",
            "fax_number": "269-343-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5081 WILLOWBEND TRL",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490099548",
            "telephone_number": "269-375-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESIDENTIAL OPPORTUNITIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "RHASHEDA",
        "authorized_official_title_or_position": "CONTRACT AND COMPLIANCE MANAGER",
        "authorized_official_telephone_number": "269-250-8228"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": "AS390243331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willowbend",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.