Easter Seals - Michigan, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EASTER SEALS - MICHIGAN, INC.

Doing business as

Adult Services

Practice address

22170 W 9 Mile Rd
Southfield, MI 48033-6007

Phone

(248) 372-6800

Fax

(248) 355-1402

NPI assigned

May 22, 2008

Last updated

Sep 27, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

EASTER SEALS - MICHIGAN, INC.As reported in NPPES

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

Authorized official

Name

Brent Wirth

Title

Ceo/President

Phone

(248) 475-6400

Specialties & licenses 1

Addresses

Other names 1

• Adult Services Doing business as

Part of

Easter Seals - Michigan Inc

Locations

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1750548046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2387 E WALTON BLVD",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483261955",
            "telephone_number": "248-475-6400",
            "fax_number": "248-475-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22170 W 9 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480336007",
            "telephone_number": "248-372-6800",
            "fax_number": "248-355-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS - MICHIGAN, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EASTER SEALS - MICHIGAN, INC.",
        "enumeration_date": "2008-05-22",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "WIRTH",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "248-475-6400"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• East & West Physicians PC
• East Michigan Adult Therapy 13 LLC
• Easter Seals
• Easter Seals
• Easter Seals - Michigan
• Easter Seals Michigan
• Easter Seals Michigan
• Easterseals Morc Health Care, Inc. (Easter Seals-Michigan, Inc)
• Easterseals Morc Health Care, Inc. (Easter Seals-Michigan, Inc)
• Easterseals Morc Health Care, Inc. (Easter Seals-Michigan, Inc)

• Community/Behavioral Health Agency in Southfield, MI
• Providers in Southfield, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.