JACKSON RAMEY ROGERS DIVERSIFIED SERVICES NPI 1306230875

NPI Information

  • NPI: 1306230875
  • Provider Name: JACKSON RAMEY ROGERS DIVERSIFIED SERVICES
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • Address: 23731 RADCLIFT ST
    OAK PARK, MI
    ZIP 48237
  • Phone: (248) 242-0536

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NPI Details

JACKSON RAMEY ROGERS DIVERSIFIED SERVICES is a community based residential treatment facility mental illness in Oak Park, MI. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. JACKSON RAMEY ROGERS DIVERSIFIED SERVICES NPI is 1306230875. The provider is registered as an organization entity type.

The provider's business location address is:

23731 RADCLIFT ST
OAK PARK, MI
ZIP 48237-931
Phone: (248) 242-0536

The provider's authorized official is Donnelle D. Ramey .
The authorized official title is Administrator and has the following contact phone number (248) 242-0536.

The enumeration date for this NPI number is 3/23/2015 and was last updated on 3/23/2015.

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 Taxonomy Specialization License Number License State Primary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessAS630360466MICHIGANYes

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: 11/21/2025

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