FAMILY SUPPORT SERVICES FOR MENTAL RECOVERY (NPI# 1366694945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366694945 |
Entity Type | Organization |
Organization Name | FAMILY SUPPORT SERVICES FOR MENTAL RECOVERY |
Practice Address |
G3445 Mackin Rd Flint MI 48504-3280 |
Practice Telephone | 8107329160 |
Practice Fax Number | 8107329060 |
Mailing Telephone | 8107329160 |
Mailing Fax Number | 8107329060 |
Enumeration Date | 2008-10-15 |
Last Update Date | 2008-10-15 |
Authorized Official Name | CAROL FREEMAN (HOME PROVIDER) |
Authorized Official Telephone | 8107329160 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
AS250010767 | MI | Respite Care Facility |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518226323 | Family Support Services for Mental Recovery | Community Based Residential Treatment Facility, Mental Illness | G3445 Mackin Rd, Flint, MI 48504-3280 | 2012-05-14 |
Street Address |
G3445 MACKIN RD |
City | FLINT |
State | MI |
Zip Code | 48504-3280 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518226323 | Family Support Services for Mental Recovery | Community Based Residential Treatment Facility, Mental Illness | G3445 Mackin Rd, Flint, MI 48504-3280 | 2012-05-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750935326 | St. Luke N.e.w. Life Center, Inc. | Optometrist | 3115 Lawndale Ave., Flint, MI 48504 | 2019-07-31 |
1235797259 | Saarah Amuthan | Dentist | 2051 West Pierson Road, Dental Dreams, Units B-d, Flint, MI 48504 | 2019-06-04 |
1639653413 | Chad Warren Montague | Social Worker | 1420 West University Ave, Flint, MI 48504 | 2018-09-18 |
1235628744 | Houda Ghassani | Dentist | 2501 W Pierson Rd # Unitsb-d, Flint, MI 48504 | 2018-05-09 |
1982108551 | Dawn Michelle Conklin | Physical Therapist | 1069 N Ballenger Hwy, Flint, MI 48504 | 2018-03-20 |
1699295204 | Stephen Thomas Holt | Dentist | 2501 West Pierson Road, Units B-d, Flint, MI 48504 | 2017-06-23 |
1841601739 | Charles Davis | Pharmacist | 4333 W. Pierson Rd. G, Flint, MI 48504 | 2014-05-13 |
1609151109 | All American Pharmacy LLC | Pharmacy | 3104-3106 Flushing Rd, Flint, MI 48504 | 2011-10-15 |
1972814143 | Ballenger Pharmacy Center | Pharmacy | 1073 N Ballenger Hwy, Flint Twp, MI 48504 | 2010-06-23 |
1932357837 | Katherine Ann Kogelmann | Social Worker | 1420 W. University, Flint, MI 48504 | 2008-09-04 |
Find all providers in zip 48504 |
Taxonomy Code | 385HR2055X |
Grouping | Respite Care Facility |
Classification | Respite Care |
Specialization | Respite Care, Mental Illness, Child |
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932765229 | Octirose, LLC | Respite Care | 29488 Woodward Ave Apt 234, Royal Oak, MI 48073-0903 | 2019-05-13 |
1568866937 | Beginning of Independence Group LLC | Respite Care | 49 Macomb Pl, Suite 47, Mount Clemens, MI 48043-5675 | 2014-10-14 |
1578991311 | Independent Home Care of Mi, LLC | Respite Care | 14165 N Fenton Rd Ste 102b, Fenton, MI 48430-1148 | 2013-10-14 |
1649650433 | Kimberly Jo Velting | Respite Care | 1115 Ball Ave Ne, Building D, Grand Rapids, MI 49505-5904 | 2015-06-05 |
Please comment or provide details below to improve the information on FAMILY SUPPORT SERVICES FOR MENTAL RECOVERY.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.