Organization Active NPI

Kimberly Ann Alabi-Isama

  • Mental Illness Community Based Residential Treatment Facility
  • Flint, MI
National Provider Identifier
1881871895
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
KIMBERLY ANN ALABI-ISAMA
Practice address
1620 N Franklin Ave
Flint, MI 48506-3751
Phone
(313) 446-9658
NPI assigned
Jan 22, 2008
Last updated
Apr 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Ms. Kimberly Ann Alabi-IsamaNPI 1164695086
Title
President
Phone
(313) 446-9658

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X MI Primary

Addresses

Primary practice location

1620 N Franklin Ave
Flint, MI 48506-3751

Mailing address

2921 E Jefferson Ave
Detroit, MI 48207-4267
Phone (313) 446-9658

National Provider Directory

National Provider Directory

Locations

2921 E Jefferson Ave
Detroit, MI 48207
Phone (313) 282-5916

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1881871895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 E JEFFERSON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482074267",
            "telephone_number": "313-446-9658",
            "fax_number": "313-446-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 N FRANKLIN AVE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485063751",
            "telephone_number": "313-446-9658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY ANN ALABI-ISAMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "ALABI-ISAMA",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-446-9658",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 28, 2008; 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.