Michigan Share Corporation

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

AS500011889 Issued in MI

Legal business name

MICHIGAN SHARE CORPORATION

Practice address

22022 Oconnor St
Saint Clair Shores, MI 48080-2043

Phone

(586) 350-0675

Fax

(586) 362-8334

NPI assigned

May 5, 2017

Organization subpart

No

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

Authorized official

Name

Ada McMillan

Title

Provider

Phone

(586) 453-8676

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493942400000",
    "number": "1699201947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 404",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480800404",
            "telephone_number": "586-350-0675",
            "fax_number": "586-362-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22022 OCONNOR ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802043",
            "telephone_number": "586-350-0675",
            "fax_number": "586-362-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN SHARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-05",
        "last_updated": "2017-05-05",
        "status": "A",
        "authorized_official_last_name": "MCMILLAN",
        "authorized_official_first_name": "ADA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "586-453-8676"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": "AS500011897",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": "AS500011871",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": "AS500011889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michigan Neurology Associates DME
• Michigan Neurology Associates Opt
• Michigan Neurology Associates PC
• Michigan Private Dental Group (Stoneridge Dental)
• Michigan Psychological, P.C.
• John Joseph Migliazzo, DC
• Tihomir B Mihaylov, MD
• Nokaleta Mikel, LLMSW
• Marsha Jo Milan, LPC
• Alexandra A Milantoni

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.