Active NPI
Special Tree Residential Services Inc.
- Physical Disabilities Residential Treatment Facility
- Romulus, MI
National Provider Identifier
1710063268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Disabilities Residential Treatment Facility
- Legal business name
- SPECIAL TREE RESIDENTIAL SERVICES INC.
- Practice address
- 10909 Hannan Rd
Romulus, MI 48174-1383 - Phone
- (248) 951-4042
- NPI assigned
- Oct 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lakisha Ford
- Title
- Medical Biller
- Phone
- (248) 951-4042
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Disabilities Residential Treatment Facility | 320700000X | Primary |
Addresses
Primary practice location
10909 Hannan Rd
Romulus, MI 48174-1383
Mailing address
16018 S Huron River Dr
Romulus, MI 48174-3619
Phone (248) 951-4042
National Provider Directory
National Provider Directory- Tax ID family
- Special Tree Residential Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rehabilitation Clinic/Center
- Romulus, MI
- NPI 1982297438
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Rehabilitation Clinic/Center
- Romulus, MI
- NPI 1982297438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643932800000",
"number": "1710063268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16018 S HURON RIVER DR",
"city": "ROMULUS",
"state": "MI",
"postal_code": "481743619",
"telephone_number": "248-951-4042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10909 HANNAN RD",
"city": "ROMULUS",
"state": "MI",
"postal_code": "481741383",
"telephone_number": "248-951-4042"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECIAL TREE RESIDENTIAL SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-27",
"last_updated": "2022-02-04",
"certification_date": "2022-02-04",
"status": "A",
"authorized_official_last_name": "FORD",
"authorized_official_first_name": "LAKISHA",
"authorized_official_title_or_position": "MEDICAL BILLER",
"authorized_official_telephone_number": "248-951-4042"
},
"taxonomies": [
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Romulus, MI
- Special Tree Neuro Care Center
- Special Tree Neuro Care Center
- Special Tree Neuro Care Center
- Special Tree Rehabilitation Services LTD (Special Tree Neuro Skills Center)
- Special Tree Rehabilitation Services LTD
- Special Tree Residential Services Inc.
- Larissa Steciak
- Kiara Renee Stephens, RN
- Tanise Marcell Stevens, CPC-I
- Sheena Strickland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.