PLEASANT VIEW MANOR INC (NPI# 1104366921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104366921 |
| Entity Type | Organization |
| Organization Name | PLEASANT VIEW MANOR INC |
| Practice Address |
16000 Pine Lake Ave Sand Lake MI 49343-9551 |
| Practice Telephone | 6166962400 |
| Practice Fax Number | 6166969073 |
| Mailing Telephone | 6166962400 |
| Mailing Fax Number | 6166969073 |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |
| Authorized Official Name | MRS. JULIE KAY BROOKS (OWNER/ADMINISTRATOR) |
| Authorized Official Telephone | 6166962400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
AM0410377803 | MI | Nursing & Custodial Care Facilities |
| Street Address |
16000 PINE LAKE AVE |
| City | SAND LAKE |
| State | MI |
| Zip Code | 49343-9551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265980015 | Carol Rodriguez | In Home Supportive Care | 5270 Egner St, Sand Lake, MI 49343-8859 | 2016-09-21 |
| 1235407347 | Dolores Anne Huizinga | Registered Nurse | 9415 E 136th St, Sand Lake, MI 49343-8976 | 2011-12-02 |
| 1649800574 | Nancy Jean Fales | Physical Therapist | 6385 E 22 Mile Rd, Sand Lake, MI 49343-8985 | 2020-01-20 |
| 1760921324 | Melissa Marie Winns | Home Health | 11690 21 Mile Rd, Sand Lake, MI 49343-9420 | 2017-02-15 |
| 1013448265 | Gift of Faith Home Health Care Services LLC | Home Health | 11690 21 Mile Rd, Sand Lake, MI 49343-9420 | 2017-03-21 |
| 1962983866 | Donna Sissell | Custodial Care Facility | 8180 19 Mile Rd, Sand Lake, MI 49343-9455 | 2018-08-28 |
| 1972159440 | Mark Edward Sissell | Foster Care Agency | 8180 19 Mile Rd, Sand Lake, MI 49343-9455 | 2019-08-12 |
| 1891026456 | Tri County Call A Ride LLC | Taxi | 5405 21 Mile Rd, 176, Sand Lake, MI 49343-9476 | 2010-01-21 |
| 1669033767 | Danielle Acton | Chore Provider | 8268 E 124th St, Sand Lake, MI 49343-9613 | 2019-06-28 |
| 1679832497 | Kellie Newton | Occupational Therapy Assistant | 6359 E 136th St, Sand Lake, MI 49343-9681 | 2012-05-14 |
| Find all providers in zip 49343 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962983866 | Donna Sissell | Custodial Care Facility | 8180 19 Mile Rd, Sand Lake, MI 49343-9455 | 2018-08-28 |
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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.