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GAVEN A BERTRAM
NPI 1740989573
Assisted Living Facility - Assisted Living, Behavioral Disturbances in Flint, MI

Active since March 01, 2023
2444 OAKRIDGE DR, FLINT, MI 48507(810) 766-9377 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gaven A Bertram NPPES

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

GAVEN A BERTRAM (NPI 1740989573) is an individual assisted living, behavioral disturbances provider in Flint, Michigan, licensed in Michigan (AS250414567) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1740989573
Entity TypeIndividualMale
Primary Taxonomy3104A0630X
Provider Legal NameGAVEN A BERTRAM
Location Address2444 OAKRIDGE DRFlint, MI 48507-6211
Mailing Address1330 Kenneth StBurton, MI 48529-2206 · (810) 766-9377
Phone(810) 766-9377
Sole ProprietorYes
Enumeration DateMarch 1, 2023
NPPES CertifiedMarch 1, 2023
✔ NPI 1740989573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Behavioral DisturbancesNursing & Custodial Care Facilities
Taxonomy Code3104A0630X
License✔ Licensed in MI · AS250414567
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.
Also ListedAssisted Living Facility · Assisted Living, Mental IllnessTaxonomy 3104A0625X · License AS250414567
2444 OAKRIDGE DR, Flint, MI 48507
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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. JONATHAN BAILEY
Community Health Worker
2444 OAKRIDGE DR
FLINT, MI 48507
Genesee County (810) 766-9377
CHAMYA CONERLY
Community Health Worker
2444 OAKRIDGE DR
FLINT, MI 48507
Genesee County (810) 766-9377
TYWAN ZAKE DIXON
Community Health Worker
2444 OAKRIDGE DR
FLINT, MI 48507
Genesee County (810) 766-9377
ZA'RAIA BUSH
Community Health Worker
2444 OAKRIDGE DR
FLINT, MI 48507
Genesee County (810) 766-9377
SERENA RICE
Community Health Worker
2444 OAKRIDGE DR
FLINT, MI 48507
Genesee County (810) 766-9377
MR. BRAYLON MARCELLUS NEAL
Community Health Worker
2444 OAKRIDGE DR
FLINT, MI 48507
Genesee County (810) 766-9377
CARNELL KNOX
Community Health Worker
2444 OAKRIDGE DR
FLINT, MI 48507
Genesee County (810) 766-9377
KIELIN THOMPSON
Community Health Worker
2444 OAKRIDGE DR
FLINT, MI 48507
Genesee County (810) 766-9377

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 Gaven Bertram's NPI number?

The NPI number for Gaven Bertram is 1740989573. It was assigned to this individual provider in the NPPES registry on March 1, 2023.

Where is Gaven Bertram located?

Gaven Bertram practices at 2444 Oakridge Dr, Flint, MI 48507. The listed phone number is (810) 766-9377.

What is Gaven Bertram's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

When was this NPI record last updated?

The NPPES record for Gaven Bertram was last updated on March 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.