CULVER SENIOR LIVING, INC. (NPI# 1013307867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013307867 |
| Entity Type | Organization |
| Organization Name | CULVER SENIOR LIVING, INC. |
| Practice Address |
1745 N West Silver Lake Rd Traverse City MI 49685 |
| Mailing Address |
1661 N West Silver Lake Rd Traverse City MI 49685 |
| Practice Telephone | 2316335840 |
| Practice Fax Number | 2319439470 |
| Mailing Telephone | 2316335840 |
| Mailing Fax Number | 2319439470 |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2015-02-02 |
| Authorized Official Name | TRINA JEWETT (PRESIDENT) |
| Authorized Official Telephone | 2316335840 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | AL280303758 | MI | Agencies |
| Street Address |
1745 N WEST SILVER LAKE RD |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49685 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508379496 | Alexandra Hull | Physical Therapist | 4177 Village Park Dr., Suite B, Traverse City, MI 49685 | 2017-11-14 |
| 1215452164 | Holli Home Health Care, LLC | Home Health | 2062 North Us-31 South, Suite A, Traverse City, MI 49685 | 2017-08-11 |
| 1295154656 | Mark Langlois Jr. | Family Medicine | 5191 Rosewood Dr, Traverse City, MI 49685 | 2014-04-14 |
| 1679844849 | Crystal Lake Clinic, PC | Family Medicine | 5191 Rosewood Dr, Traverse City, MI 49685 | 2012-01-20 |
| 1487103610 | Laura Christine Field | Social Worker | 6325 Cherry Blossom Dr, Traverse City, MI 49685-5000 | 2016-09-29 |
| 1730132879 | Franklin Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 404 W Commerce Dr, Suite B, Traverse City, MI 49685-5854 | 2006-05-18 |
| 1588281695 | Carly Overmire | Behavior Technician | 3000 Arborvitae Dr Apt 11, Traverse City, MI 49685-6708 | 2020-07-06 |
| 1134576853 | Paula Mclane | Registered Nurse | 2400 W Crown Dr Unit 1, Traverse City, MI 49685-6715 | 2016-05-23 |
| 1376927756 | Crystal Lake Clinic P.C. | Family Medicine | 4025 Chums Village Dr, Traverse City, MI 49685-6992 | 2015-07-15 |
| 1730500562 | Debra Swoverland | Physician Assistant | 4025 Chums Village Dr, Traverse City, MI 49685-6992 | 2013-12-20 |
| Find all providers in zip 49685 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922523505 | Green Acres Afc | Foster Care Agency | 127 Potter Rd W, Traverse City, MI 49696-8525 | 2017-08-04 |
| 1295125045 | Culver Meadows Afc, Inc. | Foster Care Agency | 5840 Culver Rd., Traverse City, MI 49685-8666 | 2015-02-02 |
| 1184026437 | Maishelle King | Foster Care Agency | 3935 E Long Lake Rd, Traverse City, MI 49685-8876 | 2014-09-18 |
| 1093003477 | New Horizon Support Service | Foster Care Agency | 2425 E Carriage Hill Dr, Traverse City, MI 49686-5104 | 2011-07-19 |
| 1679875843 | Pearson Afc- Munson House | Foster Care Agency | 802 Munson Ave, Traverse City, MI 49686-3602 | 2010-11-22 |
| 1477965036 | Grand Traverse Area Community Living Centers Non Profit Housing Corpor | Foster Care Agency | 935 Barlow St, Traverse City, MI 49686-4250 | 2014-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474576 | Maryann Michelle Lavender | Foster Care Agency | 5633 Embassy St, Kalamazoo, MI 49009-6499 | 2020-10-13 |
| 1417560269 | Fountain of Love | Foster Care Agency | 2140 Dickerson St, Detroit, MI 48215-2640 | 2020-08-30 |
| 1376165076 | Haven Adult Foster Care Ltd | Foster Care Agency | 73600 Church St, Armada, MI 48005-4749 | 2020-05-15 |
| 1104448018 | Jody Elizabeth Josephson | Foster Care Agency | 7415 Dexter Pinckney Rd, Dexter, MI 48130-7505 | 2020-05-13 |
| 1639701600 | Colonial Park Adult Assisted Living | Foster Care Agency | 1050 W Colonial Park Dr, Grand Ledge, MI 48837-2215 | 2020-02-07 |
| 1972135200 | Absolute Care LLC | Foster Care Agency | 5847 Naneva Ct, West Bloomfield, MI 48322-2517 | 2020-02-05 |
| 1699315556 | Reliance Manor LLC | Foster Care Agency | 35156 Ecorse Rd, Romulus, MI 48174-1640 | 2020-01-08 |
| 1215573217 | Byerly Enterprises, LLC | Foster Care Agency | 8616 Hidden Acre Ct, Clarkston, MI 48348-2895 | 2019-11-25 |
| 1235789553 | Dorthie Bolden | Foster Care Agency | 7027 Baseline Rd, South Haven, MI 49090-8338 | 2019-09-18 |
| 1457909509 | Sallie Mae Emert | Foster Care Agency | 2850 W Leinaar Rd, Delton, MI 49046-9567 | 2019-09-02 |
| Find all providers with the same taxonomy | ||||
| City | TRAVERSE CITY |
| Zip Code | 49685 |
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| 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.