Active NPI
Resident Advancement Inc
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Fenton, MI
National Provider Identifier
1891917415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- AS250077905
- Legal business name
- RESIDENT ADVANCEMENT INC
- Practice address
- 411 S Leroy Street
Fenton, MI 48430 - Phone
- (810) 750-0382
- Fax
- (810) 750-6712
- NPI assigned
- May 3, 2007
- 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
- Rochelle Molyneaux
- Title
- Executive Director
- Phone
- (810) 750-0382
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | AS250010859 | MI | |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | AS760014821 | MI | |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | AS250010959 | MI | |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | AS760013141 | MI | |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | AS250263541 | MI | |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | AS440284123 | MI | |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | AS760091948 | MI | |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | AS250285695 | MI | |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | AS250010823 | MI | |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | AS250077905 | MI | Primary |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | AS250010923 | MI | |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | AS440284111 | MI | |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | AS730263806 | MI | |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | AS250264516 | MI | |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | AS730071758 | MI |
Addresses
Primary practice location
411 S Leroy Street
Fenton, MI 48430
Mailing address
411 S Leroy Street
PO Box 555
Fenton, MI 48430
National Provider Directory
National Provider DirectoryLocations
411 S Leroy St
Fenton, MI 48430
Phone (810) 750-0382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335916800000",
"number": "1891917415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 S LEROY STREET",
"address_2": "PO BOX 555",
"city": "FENTON",
"state": "MI",
"postal_code": "48430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 S LEROY STREET",
"city": "FENTON",
"state": "MI",
"postal_code": "48430",
"telephone_number": "810-750-0382",
"fax_number": "810-750-6712"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESIDENT ADVANCEMENT INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-03",
"last_updated": "2012-05-02",
"status": "A",
"authorized_official_last_name": "MOLYNEAUX",
"authorized_official_first_name": "ROCHELLE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "810-750-0382"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "MI",
"license": "AS250010859",
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "MI",
"license": "AS760014821",
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "MI",
"license": "AS250010959",
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "MI",
"license": "AS760013141",
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "MI",
"license": "AS250263541",
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "MI",
"license": "AS440284123",
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "MI",
"license": "AS760091948",
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "MI",
"license": "AS250285695",
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "MI",
"license": "AS250010823",
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "MI",
"license": "AS250077905",
"primary": true
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "MI",
"license": "AS250010923",
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "MI",
"license": "AS440284111",
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "MI",
"license": "AS730263806",
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "MI",
"license": "AS250264516",
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "MI",
"license": "AS730071758",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fenton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.