Kent Residential Centers, Inc in Grand Rapids - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Kent Residential Centers, Inc - NPI 1376722868
Kent Residential Centers, Inc is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Grand Rapids, Michigan. Kent Residential Centers, Inc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Kent Residential Centers, Inc is 1376722868. The last update date is 2007-10-31.
Kent Residential Centers, Inc's current location address is 1225 Lake Dr Se, Grand Rapids, Michigan. You can contact this provider via phone number 6167740853 and fax number 6167740328. The mailing address for Kent Residential Centers, Inc is 1225 Lake Dr Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kent Residential Centers, Inc |
|---|---|
| Address | 1225 Lake Dr Se, Grand Rapids, Michigan |
| Phone Number | 6167740853 |
| Fax Number | 6167740328 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Ferch E Thomas |
| Telephone Number | 6167740853 |
NPI Number Detail
| NPI Number | 1376722868 |
|---|---|
| Provider Enumeration Date | 2007-10-31 |
| Last Updated Date | 2007-10-31 |
Provider Mailing Address Detail
| Address | 1225 Lake Dr Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495061656 |
| Phone Number | 6167740853 |
| Fax Number | 6167740328 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4483587 | MI | -- |
Post Comment/ Review Below
What is the Kent Residential Centers, Inc's 1376722868?
The Kent Residential Centers, Inc's NPI (National Provider Identifier) Number is 1376722868. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Kent Residential Centers, Inc's facilities are geographically located?
The facilities of Kent Residential Centers, Inc are physically situated at the following location: 1225 Lake Dr Se, Grand Rapids, MI, 495061656.
What is the area of specialization for Kent Residential Centers, Inc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kent Residential Centers, Inc is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 320900000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1376722868 to Kent Residential Centers, Inc?
The Centers for Medicare & Medicaid Services assigned the 1376722868 to Kent Residential Centers, Inc on 2007-10-31.
When was the information related to Kent Residential Centers, Inc most recently updated or refreshed?
The details pertaining to the Kent Residential Centers, Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-10-31.