Camp Grace Bentley

Primary specialty

Respite Care CampTaxonomy code 385HR2050X

License

CR740200695 Issued in MI

Legal business name

CAMP GRACE BENTLEY

Practice address

1877 Maryland Blvd
Birmingham, MI 48009-4119

Phone

(313) 962-8242

NPI assigned

Jul 17, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Nancy C Perri

Title

Camp Director

Phone

(313) 962-8242

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1279324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279324800000",
    "number": "1891008991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8250 LAKESHORE RD",
            "city": "BURTCHVILLE",
            "state": "MI",
            "postal_code": "480591324",
            "telephone_number": "313-962-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1877 MARYLAND BLVD",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480094119",
            "telephone_number": "313-962-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMP GRACE BENTLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-17",
        "last_updated": "2010-07-17",
        "status": "A",
        "authorized_official_last_name": "PERRI",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CAMP DIRECTOR",
        "authorized_official_telephone_number": "313-962-8242",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": "MI",
            "license": "CR740200695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Respite Care in Birmingham, MI
• Providers in Birmingham, MI by specialty
• Respite Care in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.