CANTERBURY HEALTH CARE, INC (NPI# 1013013275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013013275 |
| Entity Type | Organization |
| Organization Name | CANTERBURY HEALTH CARE, INC |
| Other Organization Name | CANTERBURY ON-THE-LAKE |
| Practice Address |
5601 Hatchery Rd Waterford MI 48329 |
| Mailing Address |
5601 Hatchery Rd Waterford MI 48329-3451 |
| Practice Telephone | 2486749292 |
| Practice Fax Number | 2486745393 |
| Mailing Telephone | 2486749292 |
| Mailing Fax Number | 2486745393 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2019-08-28 |
| Authorized Official Name | CHERYL A DRUTCHAS (CHAIRMAN) |
| Authorized Official Telephone | 2486749292 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1070000051 | MI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS/ BLUE SHIELD M | 09755 | 01 | |
| BLUE CARE NETWORK | F0000008663 | 01 | |
| MI | 60 2083058 | 05 |
| Other Name | Type Code |
|---|---|
| Canterbury On-the-Lake | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508926288 | Canterbury Health Care, Inc | Assisted Living Facility | 5601 Hatchery Rd, Waterford, MI 48329 | 2006-12-11 |
| Street Address |
5601 HATCHERY RD |
| City | WATERFORD |
| State | MI |
| Zip Code | 48329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134603087 | Joshua Lawrence | Occupational Therapist | 5601 Hatchery Rd, Waterford, MI 48329-3451 | 2018-09-17 |
| 1194123505 | Jefforey Mclanson | Physical Therapy Assistant | 5601 Hatchery Rd, Waterford, MI 48329-3451 | 2014-12-17 |
| 1497150890 | Michael Sahagun | Physical Therapy Assistant | 5601 Hatchery Rd, Waterford, MI 48329-3451 | 2014-10-28 |
| 1043610918 | Sommer V Collins | Occupational Therapy Assistant | 5601 Hatchery Rd, Waterford, MI 48329-3451 | 2014-08-28 |
| 1568861078 | Daniel Mallory | Occupational Therapy Assistant | 5601 Hatchery Rd, 248) 674-9292, Waterford, MI 48329-3451 | 2014-08-20 |
| 1972915452 | Dawn Osman Fraser | Physical Therapy Assistant | 5601 Hatchery Rd, Waterford, MI 48329-3451 | 2014-06-02 |
| 1659795441 | Linda Wallace | Physical Therapy Assistant | 5601 Hatchery Rd, Waterford, MI 48329-3451 | 2014-02-13 |
| 1184048217 | Marcia Scarbrough | Physical Therapy Assistant | 5601 Hatchery Rd, Waterford, MI 48329-3451 | 2014-02-10 |
| 1346663630 | Lisa Gorski | Occupational Therapy Assistant | 5601 Hatchery Rd, Waterford, MI 48329-3451 | 2014-01-23 |
| 1316377070 | Virgil Keepes Jr. | Occupational Therapist | 5601 Hatchery Rd, Waterford, MI 48329-3451 | 2013-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386124139 | Melissa A Blake | Occupational Therapist | 3257 Whitfield Ct, Waterford, MI 48329 | 2018-08-20 |
| 1932699741 | Julianne Marie Fittonneville | Counselor | 4000 W Walton Blvd Ste A&b, Waterford, MI 48329 | 2018-05-16 |
| 1730615717 | Innovative Lifestyles, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5490 Dixie Hwy, Suite 1, Waterford, MI 48329 | 2017-05-11 |
| 1841670502 | Kayla Brianne Dandino | Speech-Language Pathologist | 5601 Hatchery Rd., Waterford Township, MI 48329 | 2015-06-08 |
| 1093122400 | Caring 4 Loved Ones, Inc | Registered Nurse | 3549 Lakeshore Dr., Waterford, MI 48329 | 2014-07-17 |
| 1124448329 | Michael Alan Watson | Emergency Medicine | 5826 Dixie Hwy, Waterford Township, MI 48329 | 2014-04-27 |
| 1417263120 | Metro Imaging Center Plc | Dentist | 4664 W. Walton Blvd., Waterford, MI 48329 | 2010-08-19 |
| 1225278013 | S.e.t. Footcare, P.C. | Podiatrist | 4396-1 Dixie Hwy, Waterford, MI 48329 | 2009-03-06 |
| 1962556498 | Mark Andrew Laszlo | Dentist | 4624 Walton Blvd, Waterford, MI 48329 | 2007-01-22 |
| 1437211927 | Pankajini N Doshi | Pediatrics | 4299 Roseberry Ct, Waterford, MI 48329 | 2006-12-14 |
| Find all providers in zip 48329 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275069221 | 88 Clark Operating LLC | Skilled Nursing Facility | 88 Clark Ln, Waterford, CT 06385-2118 | 2017-05-11 |
| 1891759551 | Haven Health Center of Waterford, LLC | Skilled Nursing Facility | 171 Rope Ferry Rd, Waterford, CT 06385-2600 | 2006-04-12 |
| 1588650840 | Greentree Manor Nursing and Rehabilitation Center Inc | Skilled Nursing Facility | 4 Greentree Dr, Waterford, CT 06385-4116 | 2005-09-22 |
| 1780670299 | Eastern Ct Health Systems Inc | Skilled Nursing Facility | 88 Clark Lane, Waterford, CT 06385 | 2005-09-21 |
| 1184616732 | Lourdes, Inc | Skilled Nursing Facility | 2300 Watkins Lake Rd, Waterford, MI 48328-1439 | 2005-08-19 |
| 1700229481 | 301 Rope Ferry Road, LLC. | Skilled Nursing Facility | 301 Rope Ferry Rd, Waterford, CT 06385-2610 | 2013-04-11 |
| 1811290281 | Northern Oak Management Company, LLC | Skilled Nursing Facility | 1901 N Telegraph Rd, Waterford, MI 48328-1878 | 2010-12-07 |
| 1053342626 | 301 Rope Ferry Road, LLC | Skilled Nursing Facility | 301 Rope Ferry Rd, Waterford, CT 06385-2610 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538798731 | Windemere Park of Troy Operations LLC | Skilled Nursing Facility | 5990 N Adams Rd, Troy, MI 48098-2377 | 2020-04-08 |
| 1982235396 | Berg-lahser Snf, LLC | Skilled Nursing Facility | 21630 Hessel Ave # 1230, Detroit, MI 48219-1230 | 2020-02-04 |
| 1508497918 | Harmony Village Snf, LLC | Skilled Nursing Facility | 16588 Schaefer Hwy # 4249, Detroit, MI 48235-4249 | 2020-02-04 |
| 1336795244 | Ishpeming Nursing & Rehab Center, LLC | Skilled Nursing Facility | 435 Rd Pl, Ishpeming, MI 49849 | 2019-08-15 |
| 1669965299 | Wellbridge of Clarkston, LLC | Skilled Nursing Facility | 5655 Clarkston Road, Independence Township, MI 48348 | 2018-06-08 |
| 1104318112 | Wellbridge At Genesys Health Park, LLC | Skilled Nursing Facility | 3139 East Baldwin Road, Grand Blanc, MI 48439 | 2018-06-05 |
| 1427549955 | Mission Point of Detroit, LLC | Skilled Nursing Facility | 2102 Orleans, Detroit, MI 48207 | 2018-05-21 |
| 1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
| 1972092344 | Regency At Grand Haven, LLC | Skilled Nursing Facility | 17049 Comstock St, Grand Haven, MI 49417-7903 | 2018-05-01 |
| 1093214173 | Sana Nasir Inc. | Skilled Nursing Facility | 13840 King Rd, Riverview, MI 48193 | 2018-02-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CANTERBURY HEALTH CARE, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.