Organization Active NPI

Michiana Guardianship Services, Inc.

  • Case Management Agency
  • Niles, MI
National Provider Identifier
1972765659
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MICHIANA GUARDIANSHIP SERVICES, INC.
Practice address
2271 N 5TH St
Niles, MI 49120-1103
Phone
(269) 683-0408
Fax
(269) 683-0408
NPI assigned
Jun 25, 2008
Last updated
Jun 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Ms. Janice M Clark
Title
Owner
Phone
(269) 683-0408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

2271 N 5TH St
Niles, MI 49120-1103

Mailing address

PO Box 276
2271 N. 5TH St.
Niles, MI 49120-0276
Phone (269) 683-0408

National Provider Directory

National Provider Directory

Locations

2271 N 5th St
Niles, MI 49120
Phone (269) 683-0408

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1972765659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 276",
            "address_2": "2271 N. 5TH ST.",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491200276",
            "telephone_number": "269-683-0408",
            "fax_number": "269-683-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2271 N 5TH ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491201103",
            "telephone_number": "269-683-0408",
            "fax_number": "269-683-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIANA GUARDIANSHIP SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-683-0408",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.