OrganizationActive
Residential Opportunities, Inc.
NPI 1003321134 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Portage, MI
Provider details
- NPI number
- 1003321134
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Rhasheda Shepherd, Contract and Compliance Manager(269) 250-8228
- License
- AS390337773 (MI)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense AS390337773 (MI)
Residential Treatment Facilities
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10145 Portage Rd
Portage, MI 49002-8261
Phone: (269) 327-3640
Street-level locationGet directions
Mailing address
1100 S Rose St
Kalamazoo, MI 49001-2664
Other names (DBA / former)
- Doing business as
- Portage Road
Registry dates
- Enumerated
- 2017-12-12
- Last updated
- 2017-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.