NPIMap

Organization Active NPI

Lenawee Department on Aging

  • Developmentally Disabled Services Day Training Agency
  • Adrian, MI
National Provider Identifier
1669767810
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
LENAWEE DEPARTMENT ON AGING
Practice address
1040 S Winter St
Suite #3003
Adrian, MI 49221-3876
Phone
(517) 264-5280
Fax
(517) 264-5299
NPI assigned
Jun 16, 2011
Last updated
Jun 16, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
LENAWEE DEPARTMENT ON AGINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

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

Authorized official

Name
Mr. Tom Macnaughton
Title
Director
Phone
(517) 264-5280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

1040 S Winter St
Suite #3003
Adrian, MI 49221-3876

Mailing address

1040 S Winter St
Suite #3003
Adrian, MI 49221-3876
Phone (517) 264-5280

Other names 1

  • Daybreak adult Day Services Other name

National Provider Directory

National Provider Directory
Tax ID family
County of Lenawee3 organizations share this tax ID, including this one
Part of
County of Lenawee

Other organizations with this tax ID 2

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

Locations

1040 S Winter St
Ste 3003
Adrian, MI 49221
Phone (517) 264-5280

NPI Registry JSON

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308182400000",
    "number": "1669767810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 S WINTER ST",
            "address_2": "SUITE #3003",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492213876",
            "telephone_number": "517-264-5280",
            "fax_number": "517-264-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 S WINTER ST",
            "address_2": "SUITE #3003",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492213876",
            "telephone_number": "517-264-5280",
            "fax_number": "517-264-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENAWEE DEPARTMENT ON AGING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LENAWEE DEPARTMENT ON AGING",
        "enumeration_date": "2011-06-16",
        "last_updated": "2011-06-16",
        "status": "A",
        "authorized_official_last_name": "MACNAUGHTON",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "517-264-5280",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daybreak adult Day Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Adrian, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.