NPIMap

Organization Active NPI

Residential Opportunities, Inc.

Doing business as GLC Lawrence

  • Developmental Disabilities Clinic/Center
  • Galesburg, MI
National Provider Identifier
1730694886
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
RESIDENTIAL OPPORTUNITIES, INC.
Doing business as
GLC Lawrence
Practice address
1800 S 35TH St
Galesburg, MI 49053-9688
Phone
(269) 250-8200
NPI assigned
Dec 12, 2017
Last updated
Dec 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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

Authorized official

Name
Rhasheda Shepherd, BASH
Title
Contract and Compliance Manager
Phone
(269) 250-8228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X NU Primary

Addresses

Primary practice location

1800 S 35TH St
Galesburg, MI 49053-9688

Mailing address

1100 S Rose St
Kalamazoo, MI 49001-2664
Phone (269) 250-8228

Other names 1

  • GLC Lawrence Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Residential Opportunities Inc25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

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

View all 24

Locations

1800 S 35th St
Galesburg, MI 49053
Phone (269) 250-8200

Practitioners & affiliated clinicians

Practitioners 73

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 73

NPI Registry JSON

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1730694886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S ROSE ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012664",
            "telephone_number": "269-250-8228",
            "fax_number": "269-343-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 S 35TH ST",
            "city": "GALESBURG",
            "state": "MI",
            "postal_code": "490539688",
            "telephone_number": "269-250-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESIDENTIAL OPPORTUNITIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "RHASHEDA",
        "authorized_official_title_or_position": "CONTRACT AND COMPLIANCE MANAGER",
        "authorized_official_telephone_number": "269-250-8228",
        "authorized_official_credential": "BASH"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLC Lawrence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Galesburg, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.