Organization Active NPI

Randall Residence of Sterling Heights

  • Foster Care Agency
  • Sterling Heights, MI
National Provider Identifier
1649972126
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Legal business name
RANDALL RESIDENCE OF STERLING HEIGHTS
Practice address
13400 19 Mile Rd
Sterling Heights, MI 48313-1950
Phone
(586) 254-5719
NPI assigned
Mar 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Authorized official

Name
Matthew Sufnar
Title
Executive Director
Phone
(586) 254-5719

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X Primary

Addresses

Primary practice location

13400 19 Mile Rd
Sterling Heights, MI 48313-1950

Mailing address

13400 19 Mile Rd
Sterling Heights, MI 48313-1950
Phone (586) 254-5719

National Provider Directory

National Provider Directory

Locations

13400 19 Mile Rd
Sterling Hts, MI 48313
Phone (586) 254-5719

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1649972126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13400 19 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131950",
            "telephone_number": "586-254-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 19 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131950",
            "telephone_number": "586-254-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL RESIDENCE OF STERLING HEIGHTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "SUFNAR",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "586-254-5719"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.