SPECIALLY MADE CO. LLC


Address: 845 E Summerfield Glen Cir, Ann Arbor, MI 48103-9161
Phone: 2487904135

SPECIALLY MADE CO. LLC (NPI# 1760030183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760030183
Entity Type Organization
Organization Name SPECIALLY MADE CO. LLC
Practice Address 845 E Summerfield Glen Cir
Ann Arbor
MI 48103-9161
Mailing Address 7631 N Dixboro Rd
South Lyon
MI 48178-7008
Practice Telephone 2487904135
Mailing Telephone 2487904135
Enumeration Date 2019-08-28
Last Update Date 2019-08-28
Authorized Official Name KRISTIN KILL (PRES/CEO)
Authorized Official Telephone 2487904135
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Office Location

Street Address 845 E SUMMERFIELD GLEN CIR
City ANN ARBOR
State MI
Zip Code 48103-9161

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043839343 Melissa Sylvia Danan Rilko Social Worker 1775 Timber Trail, Ann Arbor, MI 48103 2020-04-16
1427602929 Ashwini Gulwadi, Pllc Psychiatry & Neurology 2100 S Main Street, Suite A, Unit 4, Ann Arbor, MI 48103 2019-08-01
1225593155 Brent Aaron Reeve Chiropractor 203 S. Zeeb Rd., Suite 106, Ann Arbor, MI 48103 2019-02-05
1548746779 Loren Camano Shkolnik Registered Nurse 3200 W Liberty Rd Ste C5, Ann Arbor, MI 48103 2018-07-11
1982193256 Jacob B Nienhuis Psychologist 4488 Jackson Rd Ste 7b, Ann Arbor, MI 48103 2018-05-02
1053818633 Regents of The University of Michigan Eyewear Supplier (Equipment, not the service) 380 Parkland Plz Ste 210, Ann Arbor, MI 48103 2018-04-10
1376052647 Shivika Verma Dentist 3071 Signature Blvd, Apartment #f, Ann Arbor, MI 48103 2017-09-29
1881118206 Harrison Udensi Igwe Clinic/Center 522 South Maple Stree, Ann Arbor, MI 48103 2017-07-27
1841727641 Kathleen Murphy Psychologist 4141 Woodland Drive, Ann Arbor, MI 48103 2017-05-11
1972037133 Jonathan Broek Dietitian, Registered 2920 Lakeview Dr, Ann Arbor, MI 48103 2017-04-14
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144855123 Hope Shores, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1383 E Maple Ave, Burton, MI 48529-2059 2020-03-10
1033776919 South Coast Home LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 72633 M 43, South Haven, MI 49090-8734 2019-05-25
1275001448 St. Jude's Assisted Living Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 509 S 22nd St, Escanaba, MI 49829-2247 2018-11-06
1457826315 Northrop Loving Care Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 17777 Northrop St, Detroit, MI 48219-2321 2018-10-08
1548745961 Residential Opportunities Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 612 Landsdowne Ave, Portage, MI 49002-0556 2018-10-02
1134604051 Unity Group II LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 63 Wood Dr, Coldwater, MI 49036-1046 2018-09-26
1578048401 Unity Group V LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 69 Wood Dr, Coldwater, MI 49036-1046 2018-09-26
1417432337 Unity Group IIi LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1831 Case Dr, Union City, MI 49094-9348 2018-09-26
1033694963 Unity Group Iv LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 126 Gail Ann Dr, Coldwater, MI 49036-9327 2018-09-26
1356826275 Unity Group LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1861 B Case Drive, Union City, MI 49094 2018-09-26
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Competitor

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City ANN ARBOR
Zip Code 48103

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Dataset Information

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.

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