NPIMap

Organization Active NPI

Moriah, Incorporated

  • Developmental Disabilities Clinic/Center
  • Ann Arbor, MI
National Provider Identifier
1982272365
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
MORIAH, INCORPORATED
Practice address
3879 Packard St Unit B
Ann Arbor, MI 48108-2011
Phone
(734) 412-6485
Fax
(734) 677-0890
NPI assigned
Jun 14, 2021
Organization subpart
Yes
Parent organization
MORIAH INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Authorized official

Name
Tim Mucha, MSA
Title
Compliance and Contracts Manager
Phone
(734) 677-0070

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

3879 Packard St Unit B
Ann Arbor, MI 48108-2011

Mailing address

3200 E Eisenhower Pkwy
Ann Arbor, MI 48108-3231
Phone (734) 677-0070

Other names 1

  • Alternative Behavior Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Moriah Incorporated4 organizations share this tax ID, including this one
Part of
Moriah Incorporated

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3200 E Eisenhower Pkwy
Ann Arbor, MI 48108
Phone (734) 677-0070

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1982272365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 E EISENHOWER PKWY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481083231",
            "telephone_number": "734-677-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3879 PACKARD ST UNIT B",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082011",
            "telephone_number": "734-412-6485",
            "fax_number": "734-677-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORIAH, INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MORIAH INC.",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "MUCHA",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "COMPLIANCE AND CONTRACTS MANAGER",
        "authorized_official_telephone_number": "734-677-0070",
        "authorized_official_credential": "MSA"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alternative Behavior Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.