Active NPI
Consumer Advancement
Doing business as Woodland Park/Fletcher Home
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Flint, MI
National Provider Identifier
1770859217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- AS250282482
- Legal business name
- CONSUMER ADVANCEMENT
- Doing business as
- Woodland Park/Fletcher Home
- Practice address
- 3209 Old Farm Rd
4438 Colby CT.
Flint, MI 48507-1248 - Phone
- (810) 449-2473
- Fax
- (810) 733-0118
- NPI assigned
- Mar 29, 2012
- Last updated
- Mar 29, 2012
- 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
- Mrs. Latonia Fletcher
- Title
- Administrator
- Phone
- (810) 449-2473
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | AS250282482 | MI | Primary |
Addresses
Primary practice location
3209 Old Farm Rd
4438 Colby CT.
Flint, MI 48507-1248
Mailing address
3209 Old Farm Rd.
Burton, MI 48509
Phone (810) 449-2473
Other names 1
- WOODLAND PARK/FLETCHER HOME
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332979200000",
"number": "1770859217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3209 OLD FARM RD.",
"city": "BURTON",
"state": "MI",
"postal_code": "48509",
"telephone_number": "810-449-2473",
"fax_number": "810-733-0118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3209 OLD FARM RD",
"address_2": "4438 COLBY CT.",
"city": "FLINT",
"state": "MI",
"postal_code": "485071248",
"telephone_number": "810-449-2473",
"fax_number": "810-733-0118"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONSUMER ADVANCEMENT",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-29",
"last_updated": "2012-03-29",
"status": "A",
"authorized_official_last_name": "FLETCHER",
"authorized_official_first_name": "LATONIA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "810-449-2473",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "MI",
"license": "AS250282482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "WOODLAND PARK/FLETCHER HOME",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.