Michigan Avenue Residential Care Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

MICHIGAN AVENUE RESIDENTIAL CARE INC.

Practice address

1204 W Michigan Ave
Lansing, MI 48915-1724

Phone

(517) 367-8172

Fax

(517) 853-0791

NPI assigned

Feb 3, 2007

Last updated

Aug 22, 2020By 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

Mrs. Hope Mercedes Lovell

Title

President

Phone

(517) 367-8172

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891833414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 WOODVIEW DR",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489111727",
            "telephone_number": "517-367-8172",
            "fax_number": "517-853-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 W MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489151724",
            "telephone_number": "517-367-8172",
            "fax_number": "517-853-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN AVENUE RESIDENTIAL CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOVELL",
        "authorized_official_first_name": "HOPE",
        "authorized_official_middle_name": "MERCEDES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-367-8172",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Lansing, MI
• Providers in Lansing, MI by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.