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PACKARD SPECIALIZED RESIDENTIAL
NPI 1225633035
Assisted Living Facility in Burton, MI

Active since December 01, 2020
1173 S PACKARD AVE, BURTON, MI 48509(810) 288-2226(810) 462-1093 Get Directions Write a Review

NPPES record last updated: December 1, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Packard Specialized Residential NPPES

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

PACKARD SPECIALIZED RESIDENTIAL (NPI 1225633035) is a healthcare organization registered as an assisted living facility in Burton, Michigan and active in the NPI registry since December 2020. The organization lists Mitchell F Naegele, Administrator, as its authorized official.

NPPES Registry Identity

NPI1225633035
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePACKARD SPECIALIZED RESIDENTIAL
Location Address1173 S PACKARD AVEBurton, MI 48509-2311
Mailing Address1173 S Packard AveBurton, MI 48509-2311 · (810) 288-2226
Phone(810) 288-2226
Fax(810) 462-1093
Organization SubpartNo
Authorized OfficialMitchell F NaegeleAdministrator · (810) 288-2226
Enumeration DateDecember 1, 2020
NPPES CertifiedDecember 1, 2020
✔ NPI 1225633035 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.
1173 S PACKARD AVE, Burton, MI 48509
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. TIMOTHY D BERTRAM
Community Health Worker
1173 S PACKARD AVE
BURTON, MI 48509
Genesee County (810) 348-5923
ISIAH CURLIN
Community Health Worker
1173 S PACKARD AVE
BURTON, MI 48509
Genesee County (810) 743-1007
KIARA WHITFIELD
Community Health Worker
1173 S PACKARD AVE
BURTON, MI 48509
Genesee County (833) 478-9464
TIANNA DAVIS
Community Health Worker
1173 S PACKARD AVE
BURTON, MI 48509
Genesee County (833) 478-9464
SAMIYAH DUPREE
Community Health Worker
1173 S PACKARD AVE
BURTON, MI 48509
Genesee County (833) 478-9464
NICOLE LASSITER
Community Health Worker
1173 S PACKARD AVE
BURTON, MI 48509
Genesee County (810) 743-1007
HEATHER JONES
Community Health Worker
1173 S PACKARD AVE
BURTON, MI 48509
Genesee County (810) 743-1007
JAQUSHIA CAYTON
Community Health Worker
1173 S PACKARD AVE
BURTON, MI 48509
Genesee County (833) 478-9464

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Packard Specialized Residential's NPI number?

The NPI number for Packard Specialized Residential is 1225633035. It was assigned to this organization in the NPPES registry on December 1, 2020.

Where is Packard Specialized Residential located?

Packard Specialized Residential is located at 1173 S Packard Ave, Burton, MI 48509. The listed phone number is (810) 288-2226.

What is Packard Specialized Residential's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Packard Specialized Residential was last updated on December 1, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.