NPIMap

Organization Active NPI

Moka Corporation

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Muskegon, MI
National Provider Identifier
1669538419
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
MOKA CORPORATION
Practice address
3391 Merriam St
Ste. 201
Muskegon, MI 49444-3155
Phone
(230) 830-9376
Fax
(231) 737-1464
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Thomas Zmolek
Title
Executive Director
Phone
(231) 830-9376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

3391 Merriam St
Ste. 201
Muskegon, MI 49444-3155

Mailing address

3391 Merriam St
Ste. 201
Muskegon, MI 49444-3155
Phone (230) 830-9376

National Provider Directory

National Provider Directory

Locations

715 Terrace St
Ste 201
Muskegon, MI 49440
Phone (231) 830-9376

3391 Merriam St
Ste 201
Muskegon, MI 49444
Phone (231) 830-9376

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669538419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3391 MERRIAM ST",
            "address_2": "STE. 201",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494443155",
            "telephone_number": "230-830-9376",
            "fax_number": "231-737-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3391 MERRIAM ST",
            "address_2": "STE. 201",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494443155",
            "telephone_number": "230-830-9376",
            "fax_number": "231-737-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOKA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZMOLEK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "231-830-9376",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.