NPIMap

Organization Active NPI

FDX2 Ventures LLC

Doing business as Rehabitat Systems

  • Adult Care Home Facility
  • Flushing, MI
National Provider Identifier
1821478991
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
AM250362950 Issued in MI
Legal business name
FDX2 VENTURES LLC
Doing business as
Rehabitat Systems
Practice address
6484 N Seymour Rd
Flushing, MI 48433-1008
Phone
(810) 487-3200
Fax
(810) 659-0782
NPI assigned
Jun 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Authorized official

Name
Damon Huffman
Title
Executive Officer
Phone
(810) 487-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X AM250362950 MI Primary

Addresses

Primary practice location

6484 N Seymour Rd
Flushing, MI 48433-1008

Mailing address

6484 North Seymour Road
Flushing, MI 48433
Phone (810) 487-3200

Other names 1

  • Rehabitat Systems Doing business as

National Provider Directory

National Provider Directory

Locations

6484 N Seymour Rd
Flushing, MI 48433
Phone (810) 487-3200

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1821478991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6484 NORTH SEYMOUR ROAD",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "48433",
            "telephone_number": "810-487-3200",
            "fax_number": "810-659-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6484 N SEYMOUR RD",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484331008",
            "telephone_number": "810-487-3200",
            "fax_number": "810-659-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FDX2 VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "HUFFMAN",
        "authorized_official_first_name": "DAMON",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "810-487-3200"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AM250362950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehabitat Systems",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flushing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.