Sisters of Sobriety

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

M730256 Issued in MI

Legal business name

SISTERS OF SOBRIETY

Practice address

5398 Pierce Rd
Remus, MI 49430

Phone

(231) 250-9193

NPI assigned

May 17, 2017

Organization subpart

No

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

Authorized official

Name

Angela Irene Kazemier, CPRC

Title

Executive Director

Phone

(231) 250-9193

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1902333263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 175TH AVE",
            "city": "MORLEY",
            "state": "MI",
            "postal_code": "493369092",
            "telephone_number": "231-250-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5398 PIERCE RD",
            "city": "REMUS",
            "state": "MI",
            "postal_code": "49430",
            "telephone_number": "231-250-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISTERS OF SOBRIETY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KAZEMIER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "231-250-9193",
        "authorized_official_credential": "CPRC"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "MI",
            "license": "M730256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Remus, MI
• Providers in Remus, MI by specialty
• Exclusive Provider Organization in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.