G.S.M., Inc. - East

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

AL250314581 Issued in MI

Legal business name

G.S.M., INC. - EAST

Practice address

3490 Greenly St
Burton, MI 48529-2218

Phone

(810) 743-4020

Fax

(810) 743-7370

NPI assigned

Jun 4, 2012

Organization subpart

Yes

Parent organization

G.S.M., INC.As reported in NPPES

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

Authorized official

Name

Mrs. Kim Renee Page

Title

Director of Operations

Phone

(810) 743-4020

Specialties & licenses 3

Addresses

Other names 1

• G.S.M., Inc. Other name

Tax ID family

GSM Inc - East2 organizations share this tax ID, including this one

Part of

GSM Inc - East

Other organizations with this tax ID 1

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

• Flatrock Manor of Burton Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Burton, MI
  • NPI 1336690866
  NPD tax ID

Locations

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338768000000",
    "number": "1679834949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3490 GREENLY ST",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485292218",
            "telephone_number": "810-743-4020",
            "fax_number": "810-743-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3490 GREENLY ST",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485292218",
            "telephone_number": "810-743-4020",
            "fax_number": "810-743-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G.S.M., INC. - EAST",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "G.S.M., INC.",
        "enumeration_date": "2012-06-04",
        "last_updated": "2012-06-04",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "810-743-4020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MI",
            "license": "AL250314581",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": "AL250314581",
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MI",
            "license": "AL250314581",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "G.S.M., Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Burton, MI
• Providers in Burton, MI by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; 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.