OrganizationActive
Specially Made Co. LLC
NPI 1760030183 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Ann Arbor, MI
Provider details
- NPI number
- 1760030183
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Kristin Kill, Pres/Ceo(248) 790-4135
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
845 E Summerfield Glen Cir
Ann Arbor, MI 48103-9161
Phone: (248) 790-4135
Street-level locationGet directions
Mailing address
7631 N Dixboro Rd
South Lyon, MI 48178-7008
Registry dates
- Enumerated
- 2019-08-28
- Last updated
- 2019-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.