Organization Active NPI

Resident Advancement Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Fenton, MI
National Provider Identifier
1891917415
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
AS250077905 Issued in MI
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

Updated by the provider on May 2, 2012

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.