Bakers Community LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

AS630302466 Issued in MI

Legal business name

BAKERS COMMUNITY LLC

Practice address

1017 Vinsetta Blvd
Royal Oak, MI 48067-1020

Phone

(313) 622-8201

NPI assigned

Jul 16, 2010

Last updated

Jul 16, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Wilma Kay Baker

Title

President

Phone

(313) 622-8201

Specialties & licenses 1

Addresses

Tax ID family

Bakers Community LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bakers Community LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Saginaw, MI
  • NPI 1487967659
  NPD tax ID

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1881907053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8083 WARD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482282713",
            "telephone_number": "313-622-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 VINSETTA BLVD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671020",
            "telephone_number": "313-622-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKERS COMMUNITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-16",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "WILMA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-622-8201",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MI",
            "license": "AS630302466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Bak, PH.D., LMFT
• Aleka Marie Baker, PA-C
• Joshua H Baker, DO, PHD
• Nicolas Baker, MD
• Walter John Baker, PH.D.
• Nour Baki, M.D.
• Mohamad Bakkar, MD
• Marisa M Balagtas, PT
• Andrew Balavitch
• Karen Balboa, PTA

• Mental Illness Community Based Residential Treatment Facility in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Mental Illness Community Based Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; 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.