Organization Active NPI

Passages Community Services

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Plymouth, MI
National Provider Identifier
1992903942
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
PASSAGES COMMUNITY SERVICES
Practice address
1220 Palmer St
Plymouth, MI 48170-2053
Phone
(734) 454-3691
Fax
(734) 737-9104
NPI assigned
Jul 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Ms. Marlene Bowling
Title
Executive Director
Phone
(734) 454-3691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

1220 Palmer St
Plymouth, MI 48170-2053

Mailing address

PO Box 6387
Plymouth, MI 48170-8487
Phone (734) 454-3691

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1992903942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6387",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481708487",
            "telephone_number": "734-454-3691",
            "fax_number": "734-737-9104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 PALMER ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702053",
            "telephone_number": "734-454-3691",
            "fax_number": "734-737-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSAGES COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "BOWLING",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "734-454-3691",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.