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COMMUNITY VILLAGE
NPI 1063538536
Assisted Living Facility in Saginaw, MI

Active since March 22, 2007CLIA 23D2203304 · Waiver
3200 HOSPITAL RD, SAGINAW, MI 48603(989) 792-5442(989) 792-2717 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Community Village NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMUNITY VILLAGE (NPI 1063538536) is a healthcare organization registered as an assisted living facility in Saginaw, Michigan and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through December 2, 2026 and lists Kenneth R Streeter, Administrator, as its authorized official.

NPPES Registry Identity

NPI1063538536
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCITY RESCUE MISSION OF SAGINAW, INC.
Location Address3200 HOSPITAL RDSaginaw, MI 48603-9622
Mailing Address3200 Hospital RdSaginaw, MI 48603-9622 · (989) 792-5442 · Fax (989) 792-2717
Phone(989) 792-5442
Fax(989) 792-2717
Organization SubpartNo
Authorized OfficialKenneth R StreeterAdministrator · (989) 792-5442
Enumeration DateMarch 22, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1063538536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

3200 HOSPITAL RD, Saginaw, MI 48603
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Other Names 1

Doing Business AsCommunity Village

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2203304

Community Village · Saginaw, MI
Active · expires Dec 2, 2026
CLIA Number23D2203304
Laboratory TypeHome For The Aged
Certificate Effective DateDecember 3, 2024
Certificate Expiration DateDecember 2, 2026
Laboratory DirectorDavid Benjamin
Laboratory Phone(989) 792-5442
Laboratory LocationCommunity Village3200 Hospital Road, Saginaw, MI 48603
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is CITY RESCUE MISSION OF SAGINAW, INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1063538536, enumerated as an "organization" on March 22, 2007.

Where is the provider located?

The provider is located at 3200 HOSPITAL RD SAGINAW, MI 48603 and the phone number is (989) 792-5442.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 310400000X.