WILSON RESIDENTIAL CARE SERVICES (NPI# 1326173741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326173741 |
| Entity Type | Organization |
| Organization Name | WILSON RESIDENTIAL CARE SERVICES |
| Practice Address |
6450 Barnes Rd Millington MI 48746-9517 |
| Practice Telephone | 9898715090 |
| Mailing Telephone | 9898715090 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | DENICE RANA WILSON (PRESIDENT) |
| Authorized Official Telephone | 9898715090 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | AS250268248 | MI | Residential Treatment Facilities |
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | AS790308206 | MI | Residential Treatment Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13481 N Center Rd, Clio, MI 484209198 | 8105649569 |
| Street Address |
6450 BARNES RD |
| City | MILLINGTON |
| State | MI |
| Zip Code | 48746-9517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942475157 | Millington Dental PC | Dentist | 4696 East Main, Millington, MI 48746 | 2008-04-29 |
| 1114965621 | Restoring Smiles | Dentist | 4780 Industrial Drive, Millington, MI 48746 | 2006-06-04 |
| 1851435093 | Patrick M. Hurst | Social Worker | 8361 Ellis Rd., Millington, MI 48746-0359 | 2007-02-19 |
| 1750425435 | Richard O Watkins II | Counselor | 8361 Ellis Rd, Millington, MI 48746-0359 | 2007-02-16 |
| 1942460639 | Sandra Hurst | Counselor | 8361 Ellis Rd, Millington, MI 48746-0359 | 2008-06-16 |
| 1588844336 | Tammy Joette Birkenmeier | Counselor | 8361 Ellis Rd., Millington, MI 48746-0359 | 2007-11-09 |
| 1013408624 | Lorrie Ann Thams | Counselor | 5397 Millington Rd, Millington, MI 48746-8701 | 2018-05-21 |
| 1487148250 | Jennie Lynne Aeder | Counselor | 5397 Millington Rd, Millington, MI 48746-8701 | 2018-06-15 |
| 1023110780 | Sridhar A Rao | Family Medicine | 9030 State Rd, Millington, MI 48746-8902 | 2006-09-02 |
| 1073689741 | Eugene Leonard Surmont | Dentist | 9030 State Rd, Millington, MI 48746-8902 | 2006-11-27 |
| Find all providers in zip 48746 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770199507 | Laura Lisa Gonzalez | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7134 Blankenship Cir, Davison, MI 48423-2317 | 2020-09-17 |
| 1558984377 | Angel Patient Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12601 E Outer Dr, Detroit, MI 48224-4204 | 2020-05-27 |
| 1659990208 | Lydias House | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11667 152nd Ave, West Olive, MI 49460-9232 | 2020-04-14 |
| 1124667118 | Alternative Community Living, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2678 S Waverly Hwy, Lansing, MI 48911-6303 | 2019-12-23 |
| 1215579537 | Eden Prairie Residential Care Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 302 Welch Blvd, Flint, MI 48503-1105 | 2019-10-09 |
| 1518428333 | Alternative Adult Residence LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 19163 Woodingham Dr, Detroit, MI 48221-1650 | 2019-03-26 |
| 1245701960 | Teresa Elaine Guzman | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 130 Marvin St, Battle Creek, MI 49017-8040 | 2018-12-06 |
| 1508334764 | Marquette Staffing Agency, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 592 Blemhuber Ave, Marquette, MI 49855-4818 | 2018-11-06 |
| 1912481235 | Adrienne Flowers | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 18403 Kentucky St, Detroit, MI 48221-2029 | 2018-09-21 |
| 1417431487 | Helping Hands Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5116 18th Rd, Escanaba, MI 49829-9525 | 2018-09-17 |
| Find all providers with the same taxonomy | ||||
| City | MILLINGTON |
| Zip Code | 48746 |
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| 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.