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RANDALL RESIDENCE OF STERLING HEIGHTS NPI 1649972126


NPI Information

NPI: 1649972126
Provider Name: RANDALL RESIDENCE OF STERLING HEIGHTS
Classification: Foster Care Agency - 253J00000X
Entity Type: Organization

CLIA Number: 23D2170263

Address:
13400 19 MILE RD
STERLING HEIGHTS, MI
ZIP 48313
Phone: (586) 254-5719
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RANDALL RESIDENCE OF STERLING HEIGHTS is a foster care agency in Sterling Heights, MI. The provider is a Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as 24-hour substitute care for children outside their own homes. Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. RANDALL RESIDENCE OF STERLING HEIGHTS NPI is 1649972126. The provider is registered as an organization entity type.

The provider's business location address is:

13400 19 MILE RD
STERLING HEIGHTS, MI
ZIP 48313-950
Phone: (586) 254-5719

The provider's authorized official is Matthew Sufnar .
The authorized official title is Executive Director and has the following contact phone number (586) 254-5719.

The CLIA number assigned to this NPI record is 23D2170263 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/20/2023 and was last updated on 3/20/2023.


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
1253J00000XFoster Care AgencyYes

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: 5/5/2024

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