PAIGE SUPERVISED COMMUNITY LIVING, INC (NPI# 1922365923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922365923 |
| Entity Type | Organization |
| Organization Name | PAIGE SUPERVISED COMMUNITY LIVING, INC |
| Practice Address |
5279 N Jennings Rd Flint MI 48504-1135 |
| Mailing Address |
3472 W Pasadena Ave Flint MI 48504-2353 |
| Practice Telephone | 8107326485 |
| Practice Fax Number | 8107326518 |
| Mailing Telephone | 8107326485 |
| Mailing Fax Number | 8107326518 |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2012-04-13 |
| Authorized Official Name | MRS. ANNA PAIGE (OWNER/VICE PRESIDENT) |
| Authorized Official Telephone | 8107326485 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
AS250010886 | MI | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639436272 | Paige Supervised Community Living, Inc | Custodial Care Facility | 3472 W Pasadena Ave, Flint, MI 48504-2353 | 2012-04-20 |
| 1417214511 | Paige Supervised Community Living, Inc | Custodial Care Facility | 7214 Reid Rd, Swartz Creek, MI 48473-9465 | 2012-04-13 |
| 1073870077 | Paige Supervised Community Living, Inc | Custodial Care Facility | 7036 N Bray Rd, Mount Morris, MI 48458-8988 | 2012-04-13 |
| Street Address |
5279 N JENNINGS RD |
| City | FLINT |
| State | MI |
| Zip Code | 48504-1135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750935326 | St. Luke N.e.w. Life Center, Inc. | Optometrist | 3115 Lawndale Ave., Flint, MI 48504 | 2019-07-31 |
| 1235797259 | Saarah Amuthan | Dentist | 2051 West Pierson Road, Dental Dreams, Units B-d, Flint, MI 48504 | 2019-06-04 |
| 1639653413 | Chad Warren Montague | Social Worker | 1420 West University Ave, Flint, MI 48504 | 2018-09-18 |
| 1235628744 | Houda Ghassani | Dentist | 2501 W Pierson Rd # Unitsb-d, Flint, MI 48504 | 2018-05-09 |
| 1982108551 | Dawn Michelle Conklin | Physical Therapist | 1069 N Ballenger Hwy, Flint, MI 48504 | 2018-03-20 |
| 1699295204 | Stephen Thomas Holt | Dentist | 2501 West Pierson Road, Units B-d, Flint, MI 48504 | 2017-06-23 |
| 1841601739 | Charles Davis | Pharmacist | 4333 W. Pierson Rd. G, Flint, MI 48504 | 2014-05-13 |
| 1609151109 | All American Pharmacy LLC | Pharmacy | 3104-3106 Flushing Rd, Flint, MI 48504 | 2011-10-15 |
| 1972814143 | Ballenger Pharmacy Center | Pharmacy | 1073 N Ballenger Hwy, Flint Twp, MI 48504 | 2010-06-23 |
| 1932357837 | Katherine Ann Kogelmann | Social Worker | 1420 W. University, Flint, MI 48504 | 2008-09-04 |
| Find all providers in zip 48504 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417435249 | Metoia Burt | Custodial Care Facility | 4137 W Court St Apt 4, Flint, MI 48532-3561 | 2018-08-02 |
| 1265886048 | New Jerusalem Enterprise Inc | Custodial Care Facility | 1015 E. Carpenter Road, Flint, MI 48505 | 2016-04-19 |
| 1639436272 | Paige Supervised Community Living, Inc | Custodial Care Facility | 3472 W Pasadena Ave, Flint, MI 48504-2353 | 2012-04-20 |
| 1083971089 | Paige Supervised Community Living,inc | Custodial Care Facility | G4069 W Court St, Flint, MI 48532-3519 | 2012-04-13 |
| 1255605259 | Group Living Facilities Non-profit Housing Corporation | Custodial Care Facility | 5095 Van Slyke Rd, Flint, MI 48507-3959 | 2012-03-08 |
| 1245504240 | Paragon Non-profit Housing Corporation | Custodial Care Facility | 5099 Van Slyke Rd, Flint, MI 48507-3959 | 2012-03-08 |
| 1114178910 | Heather Ann Mccallister | Custodial Care Facility | 6185 Corunna Rd, Flint, MI 48532-5309 | 2008-10-10 |
| 1407936701 | Communicaton Access Center for The Deaf and Hard of Hearing | Custodial Care Facility | 1505 W Court St, Flint, MI 48503-5002 | 2006-10-17 |
| 1972860971 | Arthur & Anna Paige | Custodial Care Facility | 402 University Ave, Flint, MI 48503-2577 | 2012-04-13 |
| 1215203054 | Bertram's Manor LLC | Custodial Care Facility | 1202 Church St, Flint, MI 48502-1015 | 2012-03-27 |
| Find all providers in FLINT | ||||
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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.