Rustic Ridge Specialized Residential
NPI 1972471159 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Grand Blanc, MI
Rustic Ridge Specialized Residential is a Intellectual and/or Developmental Disabilities Residential Treatment Facility organization in Grand Blanc, MI (NPI 1972471159).
Provider details
- NPI number
- 1972471159
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Breanna Moslander, Hr Admin(833) 478-9464
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
Mailing address
Registry dates
- Enumerated
- 2025-10-28
- Last updated
- 2025-10-28
- Certified
- 2025-10-28
Frequently asked questions
- What is Rustic Ridge Specialized Residential's NPI number?
- Rustic Ridge Specialized Residential's National Provider Identifier (NPI) is 1972471159, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Rustic Ridge Specialized Residential?
- Rustic Ridge Specialized Residential is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Residential Treatment Facility (Residential Treatment Facilities).
- Where is Rustic Ridge Specialized Residential located?
- Rustic Ridge Specialized Residential's practice location on file with NPPES is 6624 Rustic Ridge Trl, Grand Blanc, MI 48439-4955.
- What is Rustic Ridge Specialized Residential's phone number?
- The practice phone number listed in the NPPES registry for Rustic Ridge Specialized Residential is (833) 478-9464.
- Who is the authorized official for Rustic Ridge Specialized Residential?
- The authorized official listed on Rustic Ridge Specialized Residential's NPPES record is Breanna Moslander, Hr Admin. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Rustic Ridge Specialized Residential's NPI active?
- Yes — Rustic Ridge Specialized Residential's NPI (1972471159) is active in the NPPES registry as of the last update on 2025-10-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.