NPIMap

Organization Active NPI

Rise All Lives Matter

  • Developmentally Disabled Services Day Training Agency
  • Berrien Springs, MI
National Provider Identifier
1821590696
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
RISE ALL LIVES MATTER
Practice address
100 W Ferry St
Berrien Springs, MI 49103-1194
Phone
(269) 473-6055
NPI assigned
Mar 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Lisa Dawn Hafley, CEPS
Title
Owner/Partner
Phone
(269) 473-6055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

100 W Ferry St
Berrien Springs, MI 49103-1194

Mailing address

PO Box 422
Berrien Springs, MI 49103-0422
Phone (269) 473-6055

Other names 1

  • Rise All Lives Matter Doing business as

National Provider Directory

National Provider Directory

Locations

100 W Ferry St
Berrien Springs, MI 49103
Phone (269) 473-6055

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1821590696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 422",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491030422",
            "telephone_number": "269-473-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W FERRY ST",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491031194",
            "telephone_number": "269-473-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE ALL LIVES MATTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "HAFLEY",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "269-473-6055",
        "authorized_official_credential": "CEPS"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rise All Lives Matter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berrien Springs, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.