ESPANOLA HOUSE (NPI# 1053847194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053847194 |
| Entity Type | Organization |
| Organization Name | ESPANOLA HOUSE |
| Practice Address |
422 Espanola Ave Parchment MI 49004-1139 |
| Practice Telephone | 2692205095 |
| Mailing Telephone | 2692205095 |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2017-05-10 |
| Authorized Official Name | DAVID L CONNER (OWNER) |
| Authorized Official Telephone | 2693302397 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AS390381707 | MI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | AFC HOME LICENSE | AS390381707 | 01 |
| Street Address |
422 ESPANOLA AVE |
| City | PARCHMENT |
| State | MI |
| Zip Code | 49004-1139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386141018 | Jamie Kay Nevins | Nurse Practitioner | 4114 Mead St, Kalamazoo, MI 49004 | 2018-04-09 |
| 1396287231 | Joshua Tennyck | Specialist/Technologist | 1916 East G Ave, Parchment, MI 49004 | 2016-11-09 |
| 1861849960 | Karen Mcpherson | Rehabilitation Practitioner | 2826 Sonora St., Kalamazoo, MI 49004 | 2016-05-18 |
| 1972773182 | Interpretive Arts Counseling LLC | Counselor | 148 North Riverview Drive, Parchment, MI 49004 | 2008-03-04 |
| 1619071677 | Franklin Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 714 Shoppers Ln, Parchment, MI 49004-1118 | 2006-09-12 |
| 1396065132 | Michael Horosko | Pharmacist | 714 Shoppers Ln, Parchment, MI 49004-1118 | 2010-06-03 |
| 1144545625 | Paula Kay Crandell | Pharmacist | 714 Shoppers Ln, Parchment, MI 49004-1118 | 2010-03-29 |
| 1750606133 | Donald G Eichholz | Pharmacist | 714 Shoppers Ln, Parchment, MI 49004-1118 | 2010-03-29 |
| 1194040584 | Angela Renee Paska | Pharmacist | 714 Shoppers Ln, Parchment, MI 49004-1118 | 2010-03-29 |
| 1043534647 | Dawn Motakef | Pharmacist | 714 Shoppers Ln, Parchment, MI 49004-1118 | 2010-03-25 |
| Find all providers in zip 49004 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
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| 1215544739 | Baruch Sls, Inc. | Assisted Living Facility | 3100 Wyndham Dr, Flushing, MI 48433-2290 | 2020-09-29 |
| 1730796558 | Baruch Sls, Inc. | Assisted Living Facility | 130 Mary Ann St, Grayling, MI 49738-7037 | 2020-09-25 |
| 1649887472 | Baruch Sls, Inc. | Assisted Living Facility | 300 S Grand Ave, Leland, MI 49654-5052 | 2020-09-25 |
| 1013524834 | Baruch Sls, Inc. | Assisted Living Facility | 2801 Charlevoix Rd, Petoskey, MI 49770-9727 | 2020-09-25 |
| 1346857174 | Baruch Sls, Inc. | Assisted Living Facility | 1311 Southwestern Dr, Tecumseh, MI 49286-1233 | 2020-09-25 |
| 1427665439 | Baruch Sls, Inc. | Assisted Living Facility | 301 N Quick St, Blissfield, MI 49228-1051 | 2020-09-24 |
| 1295341956 | Comfort Home of Bloomfield Inc | Assisted Living Facility | 6372 Tutbury Ln, Troy, MI 48098-2151 | 2020-09-18 |
| 1306451679 | Traditions At Rivertown Park, LLC | Assisted Living Facility | 3555 Copper River Ave Sw, Wyoming, MI 49418-9791 | 2020-09-13 |
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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.