AUTUMN RIDGE GARDENS (NPI# 1164905683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164905683 |
| Entity Type | Organization |
| Organization Name | AUTUMN RIDGE GARDENS |
| Practice Address |
412 Marsac St Bay City MI 48708-7780 |
| Practice Telephone | 9892848142 |
| Mailing Telephone | 9892848142 |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2018-09-11 |
| Authorized Official Name | PAULA MARTINEZ (ADMINISTRATOR) |
| Authorized Official Telephone | 9892848142 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | Nursing & Custodial Care Facilities |
| Street Address |
412 MARSAC ST |
| City | BAY CITY |
| State | MI |
| Zip Code | 48708-7780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497370399 | Francine Marie Dixon | Pharmacist | 1800 Columbus Ave Ste P, Bay City, MI 48708 | 2020-06-16 |
| 1417578261 | Kassie L Pagliughi | Counselor | 1100 N. Grant Street, Bay City, MI 48708 | 2020-05-04 |
| 1346711694 | Connie Lynn Mossner | Physical Therapy Assistant | 2112 16 Th Street, Ste 7, Bay City, MI 48708 | 2018-12-16 |
| 1275003766 | Great Lakes Bay Health Centers | Clinic/Center | 1821 Mckinley St, Bay City, MI 48708 | 2018-11-28 |
| 1891204970 | Ronald Lavern Polhill Jr. | Registered Nurse | 701 South Lincoln St., Bay City, MI 48708 | 2017-09-21 |
| 1447610001 | Jeffrey M Hunt | Nurse Practitioner | 714 S. Trumbull St., Bay City, MI 48708 | 2016-02-25 |
| 1457762437 | Asim Malik | Emergency Medicine | 1900 Columbus Ave # B203, Bay City, MI 48708 | 2014-05-13 |
| 1538584768 | Sarah R. Vanparis | Registered Nurse | 1010 N. Madison, Bay City, MI 48708 | 2014-02-25 |
| 1033549316 | Melissa Rood | Case Manager/Care Coordinator | 1001 Mulholland, Bay City, MI 48708 | 2013-11-22 |
| 1528498953 | Shannon Rae Ogg | Social Worker | 2110 16th St Ste 7, Bay City, MI 48708 | 2013-11-21 |
| Find all providers in zip 48708 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564715 | Nicole Marie Hutchinson | Custodial Care Facility | 519 S Vander Meulen Rd, Lake City, MI 49651-8717 | 2020-10-01 |
| 1831796028 | Sheila Ann Breiler | Custodial Care Facility | 631 S Vander Meulen Rd, Lake City, MI 49651-9367 | 2020-10-01 |
| 1033726427 | M & T Adult Foster Care, Inc | Custodial Care Facility | 5478 210th Ave, Reed City, MI 49677-8626 | 2020-09-29 |
| 1457974388 | Leeanne Marie Love Woolley | Custodial Care Facility | 621 S M 30, Gladwin, MI 48624-8443 | 2020-05-27 |
| 1326675950 | Timothy Alan Rantz | Custodial Care Facility | 1564 N M 63, Benton Harbor, MI 49022-2759 | 2020-03-24 |
| 1437782075 | Sharon Lynn Dewey | Custodial Care Facility | 1425 Ziggy Rd., Farwell, MI 48622 | 2020-02-21 |
| 1164055380 | Palmer's Place Inc | Custodial Care Facility | 1009 S. St. Johns Rd, Ithaca, MI 48847 | 2020-02-17 |
| 1508400771 | Margaret M Dandron | Custodial Care Facility | 5740 Twin Lake Ave, Lake, MI 48632 | 2019-10-31 |
| 1831747500 | Rhonda L Owens | Custodial Care Facility | 3819 S Wise Rd, Mount Pleasant, MI 48858-8100 | 2019-08-27 |
| 1346711546 | Nationwide Community Housing Inc | Custodial Care Facility | 14391 Coyle St, Detroit, MI 48227-2585 | 2018-12-16 |
| Find all providers with the same taxonomy | ||||
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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.