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RUSTIC RIDGE SPECIALIZED RESIDENTIAL
NPI 1972471159
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Grand Blanc, MI

Active since October 28, 2025
6624 RUSTIC RIDGE TRL, GRAND BLANC, MI 48439(833) 478-9464 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rustic Ridge Specialized Residential NPPES

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

RUSTIC RIDGE SPECIALIZED RESIDENTIAL (NPI 1972471159) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Grand Blanc, Michigan and active in the NPI registry since October 2025. The organization lists Breanna Moslander, Hr Admin, as its authorized official.

NPPES Registry Identity

NPI1972471159
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameRUSTIC RIDGE SPECIALIZED RESIDENTIAL
Location Address6624 RUSTIC RIDGE TRLGrand Blanc, MI 48439-4955
Mailing Address3060 S Dye RdFlint, MI 48507-1078 · (833) 478-9464
Phone(833) 478-9464
Organization SubpartNo
Authorized OfficialBreanna MoslanderHr Admin · (833) 478-9464
Enumeration DateOctober 28, 2025
NPPES CertifiedOctober 28, 2025
✔ NPI 1972471159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
6624 RUSTIC RIDGE TRL, Grand Blanc, MI 48439
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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.

AKIYA HITCHYE
Community Health Worker
6624 RUSTIC RIDGE TRL
GRAND BLANC, MI 48439
Genesee County (810) 652-8288
AVIAL BUGGS
Community Health Worker
6624 RUSTIC RIDGE TRL
GRAND BLANC, MI 48439
Genesee County (833) 478-9464
UNALYSIA JONES
Community Health Worker
6624 RUSTIC RIDGE TRL
GRAND BLANC, MI 48439
Genesee County (810) 652-8288
SHANTA KENT
Community Health Worker
6624 RUSTIC RIDGE TRL
GRAND BLANC, MI 48439
Genesee County (833) 478-9464
MICAH COLLINS
Community Health Worker
6624 RUSTIC RIDGE TRL
GRAND BLANC, MI 48439
Genesee County (810) 652-8288
ANIYA WALLACE
Community Health Worker
6624 RUSTIC RIDGE TRL
GRAND BLANC, MI 48439
Genesee County (810) 652-8288
KENDRICK LAMAR MOORE
Community Health Worker
6624 RUSTIC RIDGE TRL
GRAND BLANC, MI 48439
Genesee County (833) 478-9464
RHONDA HODGES
Community Health Worker
6624 RUSTIC RIDGE TRL
GRAND BLANC, MI 48439
Genesee County (810) 652-8288

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 Rustic Ridge Specialized Residential's NPI number?

The NPI number for Rustic Ridge Specialized Residential is 1972471159. It was assigned to this organization in the NPPES registry on October 28, 2025.

Where is Rustic Ridge Specialized Residential located?

Rustic Ridge Specialized Residential is located at 6624 Rustic Ridge Trl, Grand Blanc, MI 48439. The listed phone number is (833) 478-9464.

What is Rustic Ridge Specialized Residential's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Rustic Ridge Specialized Residential was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.