MEDILODGE OF RICHMOND, INC. (NPI# 1174583769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174583769 |
| Entity Type | Organization |
| Organization Name | MEDILODGE OF RICHMOND, INC. |
| Practice Address |
34901 Division Rd Richmond MI 48062-1559 |
| Mailing Address |
64500 Van Dyke Rd Washington MI 48095-2583 |
| Practice Telephone | 5867277562 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2008-07-29 |
| Authorized Official Name | KATHLEEN DENEAN (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5867525008 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 504160 | MI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS OF MICHIGAN | 09908 | 01 |
| MI | 2152422 | 05 |
| Street Address |
34901 DIVISION RD |
| City | RICHMOND |
| State | MI |
| Zip Code | 48062-1559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740785039 | Sarah Pearce | Occupational Therapist | 34901 Division Rd, Richmond, MI 48062-1559 | 2018-03-28 |
| 1316388622 | Richmond Opco LLC | Skilled Nursing Facility | 34901 Division Rd, Richmond, MI 48062-1559 | 2013-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184110645 | Lisa Marie Pollauf | Occupational Therapist | 5383 Hessen Rd, Casco, MI 48062 | 2018-07-09 |
| 1073010211 | Alaina Miron | Physical Therapist | Medilodge of Richmond 34901 Division, Richmond, MI 48062 | 2018-04-12 |
| 1841450988 | Thomas Anthony Campbell-cormier | Dentist | 35035 Helze Ln, Richmond Township, MI 48062 | 2008-06-12 |
| 1649438797 | Richmond Physical Therapy Inc | Physical Therapist | 67505 Main Street, Richmond, MI 48062 | 2008-05-27 |
| 1295941391 | John Francis King | Social Worker | 35000 Division, Suite 2, Richmond, MI 48062 | 2007-05-15 |
| 1104963677 | Frank J. Markie | Dentist | 36600 Heritage Dr, Richmond, MI 48062 | 2007-01-31 |
| 1033256508 | Brian J. Pradko | Dentist | 36600 Heritage Dr., Richmond, MI 48062 | 2007-01-31 |
| 1336286897 | Pradko, Gallagher & Slance, Pllc | Dentist | 36600 Heritage Drive, Richmond, MI 48062 | 2007-01-31 |
| 1538215967 | Kenneth Edward Niemi | Dentist | 68720 Main St, Richmond, MI 48062 | 2007-01-26 |
| 1295824068 | Richmond Lenox Ems Ambulance Authority | Public Health or Welfare | 34505 32 Mile Road, Richmond, MI 48062 | 2006-10-12 |
| Find all providers in zip 48062 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871134171 | Westport Operator LLC | Skilled Nursing Facility | 7300 Forest Ave, Richmond, VA 23226-3735 | 2019-10-08 |
| 1013450881 | Recover-care Richmond LLC | Skilled Nursing Facility | 340 South St, Richmond, KS 66080-4040 | 2016-11-28 |
| 1881062586 | Henry County Memorial Hospital | Skilled Nursing Facility | 400 Industries Road, Richmond, IN 47374-3727 | 2015-09-11 |
| 1144585019 | O'bryant House | Skilled Nursing Facility | 7122 Timber Moss Ln, Richmond, TX 77469-4115 | 2012-07-06 |
| 1952672487 | Kathy P Riordan | Skilled Nursing Facility | 211 Buena Vista Ave, Richmond, CA 94801-4026 | 2012-01-13 |
| 1619184645 | Sitter-barfoot Veterans Care Center | Skilled Nursing Facility | 1601 Broad Rock Blvd, Richmond, VA 23224 | 2007-05-17 |
| 1245454677 | The Laurels of Bon Air, LLC | Skilled Nursing Facility | 9101 Bon Air Crossings Drive, Richmond, VA 23235 | 2007-04-13 |
| 1528189008 | Oakbend Medical Center | Skilled Nursing Facility | 2127 Preston St, Richmond, TX 77469-1418 | 2007-04-03 |
| 1467590562 | Heritage House of Richmond | Skilled Nursing Facility | 2070 Chester Blvd, Richmond, IN 47374-1215 | 2007-02-01 |
| 1093875221 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 2050 Chester Blvd, Richmond, IN 47374 | 2006-12-11 |
| Find all providers in RICHMOND | ||||
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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.