DOCKERTY HEALTH CARE SERVICES INC (NPI# 1164623385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164623385 |
| Entity Type | Organization |
| Organization Name | DOCKERTY HEALTH CARE SERVICES INC |
| Other Organization Name | WOODLAND TERRACE |
| Practice Address |
8850 Red Arrow Hwy Bridgman MI 49106 |
| Mailing Address |
8850 Red Arrow Hwy Po Box 370 Bridgman MI 49106 |
| Practice Telephone | 2694657600 |
| Practice Fax Number | 2694656463 |
| Mailing Telephone | 2694657600 |
| Mailing Fax Number | 2694656463 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TIMOTHY MARK DOCKERTY (DIRECTOR) |
| Authorized Official Telephone | 2694657600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | MI | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Woodland Terrace | Doing Business As Name - Organization |
| Street Address |
8850 RED ARROW HWY |
| City | BRIDGMAN |
| State | MI |
| Zip Code | 49106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992191993 | Jenil Gandhi | Internal Medicine | 9999 Red Arrow Hwy, Bridgman, MI 49106 | 2015-04-07 |
| 1356670590 | Kenneth Mays | Family Medicine | 4299 Lake Street, Bridgman, MI 49106 | 2009-12-17 |
| 1528278918 | Michael Joseph Marcincuk | Dentist | Red Arrow Dentistry, 9500 Red Arrow Highway, Bridgman, MI 49106 | 2007-05-23 |
| 1356304059 | Ryan E. Thomas, D.d.s. P.C. | Dentist | 9151 Red Arrow Hwy, Bridgman, MI 49106 | 2006-04-11 |
| 1316220106 | Lynda Sparks | Pharmacist | 3681 Shawnee Rd, Rite Aid Pharmacy, Bridgman, MI 49106 | 2011-09-28 |
| 1497965040 | Bridgman Psychological Services | Psychologist | 7889 Red Arrow Hwy, Bridgman, MI 49106 | 2007-05-23 |
| 1750696191 | Latreasa Klann | Doula | 9547 Maplewood, Bridgman, MI 49106-0156 | 2010-08-10 |
| 1548487168 | Bridgman Chiropractors. P.C. | Chiropractor | 9500 Red Arrow Hwy., Bridgman, MI 49106-0326 | 2007-04-18 |
| 1578786620 | John H. Foti, P.C. | Chiropractor | 4270 Lake St., Box 489, Bridgman, MI 49106-0489 | 2007-04-10 |
| 1245320621 | John Harris Foti | Chiropractor | 4270 Lake Street, Bridgman, MI 49106-0489 | 2006-10-13 |
| Find all providers in zip 49106 | ||||
| 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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| 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.