MICHIGAN SHARE CORPORATION NPI 1699201947

NPI Information

NPI: 1699201947
Provider Name: MICHIGAN SHARE CORPORATION
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
22022 OCONNOR ST
SAINT CLAIR SHORES, MI
ZIP 48080
Phone: (586) 350-0675
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MICHIGAN SHARE CORPORATION is a community based residential treatment facility, intellectual and/or developmental disabilities in Saint Clair Shores, MI. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. MICHIGAN SHARE CORPORATION NPI is 1699201947. The provider is registered as an organization entity type.

The provider's business location address is:

22022 OCONNOR ST
SAINT CLAIR SHORES, MI
ZIP 48080-043
Phone: (586) 350-0675
Fax: (586) 362-8334

The provider's authorized official is Ada Mcmillan .
The authorized official title is Provider and has the following contact phone number (586) 453-8676.

The enumeration date for this NPI number is 5/5/2017 and was last updated on 5/5/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	AS500011897	MICHIGAN	No
2	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	AS500011871	MICHIGAN	No
3	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	AS500011889	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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