Active NPI
Turning Leaf Residential Rehabilitation Services
- Mental Illness Community Based Residential Treatment Facility
- Lansing, MI
National Provider Identifier
1891010542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- AS330092644
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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 Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Turning Leaf Behavioral Health Services
- Psychiatric Residential Treatment Facility
- Lansing, MI
- NPI 1134005937
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Lansing, MI
- NPI 1740888940
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.