Organization Active NPI

Turning Leaf Residential Rehabilitation Services

  • Mental Illness Community Based Residential Treatment Facility
  • Lansing, MI
National Provider Identifier
1891010542
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
AS330092644 Issued in MI
Legal business name
TURNING LEAF RESIDENTIAL REHABILITATION SERVICES
Practice address
621 E Jolly Rd
Lansing, MI 48910-6804
Phone
(517) 393-5203
NPI assigned
Apr 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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

Authorized official

Name
Mr. Sami Wajih Al Jallad, MPA
Title
Executive Director
Phone
(517) 393-5203

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 4301096864 MI
Mental Illness Community Based Residential Treatment Facility 320800000X AS330092644 MI Primary
Mental Illness Community Based Residential Treatment Facility 320800000X AS330092645 MI
Mental Illness Community Based Residential Treatment Facility 320800000X AS330087735 MI
Mental Illness Community Based Residential Treatment Facility 320800000X AS3300877736 MI
Mental Illness Community Based Residential Treatment Facility 320800000X AS330087738 MI
Mental Illness Community Based Residential Treatment Facility 320800000X AS330087739 MI
Mental Illness Community Based Residential Treatment Facility 320800000X AM610301443 MI

Addresses

Primary practice location

621 E Jolly Rd
Lansing, MI 48910-6804

Mailing address

P.O. Box 23218
Lansing, MI 48909
Phone (517) 393-5203

National Provider Directory

National Provider Directory
Tax ID family
Turning Leaf Behavioral Health Services2 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.

Practitioners & affiliated clinicians

Practitioners 1

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": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1891010542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 23218",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48909",
            "telephone_number": "517-393-5203",
            "fax_number": "517-393-8968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 E JOLLY RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489106804",
            "telephone_number": "517-393-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TURNING LEAF RESIDENTIAL REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-06",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "AL JALLAD",
        "authorized_official_first_name": "SAMI",
        "authorized_official_middle_name": "WAJIH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "517-393-5203",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301096864",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MI",
            "license": "AS330092644",
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MI",
            "license": "AS330092645",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MI",
            "license": "AS330087735",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MI",
            "license": "AS3300877736",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MI",
            "license": "AS330087738",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MI",
            "license": "AS330087739",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MI",
            "license": "AM610301443",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.