BIRCHWOOD MEADOWS, LLC (NPI# 1184048761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184048761 |
| Entity Type | Organization |
| Organization Name | BIRCHWOOD MEADOWS, LLC |
| Practice Address |
6510 Town Center Dr Suite B Clarkston MI 48346-4822 |
| Practice Telephone | 2486208890 |
| Mailing Telephone | 2486208890 |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2014-02-18 |
| Authorized Official Name | JANIS MEREDITH-KELTERBORN (OWNER) |
| Authorized Official Telephone | 2486208890 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | AM250086017 | MI | Agencies |
| Street Address |
6510 TOWN CENTER DR SUITE B |
| City | CLARKSTON |
| State | MI |
| Zip Code | 48346-4822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639241219 | Evergreen Health Services, Inc. | Home Health | 6510 Town Center Dr, Suite# B, Clarkston, MI 48346-4822 | 2006-11-15 |
| 1134726144 | Marisa M Daigle | Behavior Technician | 6510 Town Center Dr, Clarkston, MI 48346-4822 | 2020-10-02 |
| 1346885068 | Taylor Monae' Bowles | Behavior Technician | 6510 Town Center Dr, Clarkston, MI 48346-4822 | 2019-11-18 |
| 1639712052 | Ashley Dieckmann | Behavior Technician | 6510 Town Center Dr, Clarkston, MI 48346-4822 | 2019-10-18 |
| 1629631502 | Bryaunte Safiyyah Little | Behavior Technician | 6510 Town Center Dr, Clarkston, MI 48346-4822 | 2019-04-17 |
| 1932667714 | Angela Meador | Behavior Technician | 6510 Town Center Dr, Clarkston, MI 48346-4822 | 2019-03-11 |
| 1033682281 | Amanda Magnan | Behavior Technician | 6510 Town Center Dr, Clarkston, MI 48346-4822 | 2019-01-09 |
| 1558833442 | Mckenna Goodale | Behavior Technician | 6510 Town Center Dr, Clarkston, MI 48346-4822 | 2018-12-18 |
| 1609342286 | Jacob Gora | Behavior Technician | 6510 Town Center Dr, Clarkston, MI 48346-4822 | 2018-10-22 |
| 1356742340 | Evergreen Hospice, LLC | Hospice Care, Community Based | 6510 Town Center Dr, Suite F, Clarkston, MI 48346-4822 | 2014-09-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497399745 | Therapy Services of Clarkston LLC | Clinic/Center | 6770 Dixie Highway, Suite 103, Clarkston, MI 48346 | 2019-10-30 |
| 1679041545 | Shiba Lashon Nixon | Registered Nurse | New Oakland, 6549 Town Center Suite A, Clarkston, MI 48346 | 2018-11-08 |
| 1972079655 | Stephanie Gaumer | Social Worker | 6825 Dixie Hwy Ste E, Clarkston, MI 48346 | 2018-10-19 |
| 1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
| 1558880591 | 3rd Circle Inc. | Home Health Aide | 39 South Main Street, Ste 2, Clarkston, MI 48346 | 2017-09-11 |
| 1376083246 | Rosemarie Villarreal | Social Worker | 4480 Elmdale Ave, Clarkston, MI 48346 | 2017-02-27 |
| 1932566940 | Syncere Hearts Home Healthcare, LLC | Home Health | 5836 North Marshbank Lane Apt203, Clarkston, MI 48346 | 2016-01-21 |
| 1649635087 | Coddaire & Associates, Inc. | Community/Behavioral Health | 6445 Citation Drive, Suite H, Clarkston, MI 48346 | 2015-12-30 |
| 1013386358 | Victoria Urikh-garcia | Technician, Other | 6510 Town Center Dr Ste E, Clarkston, MI 48346 | 2015-09-16 |
| 1194090993 | Stefanie Pavloski | Counselor | 5701 Bow Pointe Dr., Ste. #380, Clarkston, MI 48346 | 2012-03-13 |
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| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215573217 | Byerly Enterprises, LLC | Foster Care Agency | 8616 Hidden Acre Ct, Clarkston, MI 48348-2895 | 2019-11-25 |
| 1700309564 | Lois Nolen | Foster Care Agency | 6492 Scenic Pines Ct, Clarkston, MI 48346-4474 | 2017-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474576 | Maryann Michelle Lavender | Foster Care Agency | 5633 Embassy St, Kalamazoo, MI 49009-6499 | 2020-10-13 |
| 1417560269 | Fountain of Love | Foster Care Agency | 2140 Dickerson St, Detroit, MI 48215-2640 | 2020-08-30 |
| 1376165076 | Haven Adult Foster Care Ltd | Foster Care Agency | 73600 Church St, Armada, MI 48005-4749 | 2020-05-15 |
| 1104448018 | Jody Elizabeth Josephson | Foster Care Agency | 7415 Dexter Pinckney Rd, Dexter, MI 48130-7505 | 2020-05-13 |
| 1639701600 | Colonial Park Adult Assisted Living | Foster Care Agency | 1050 W Colonial Park Dr, Grand Ledge, MI 48837-2215 | 2020-02-07 |
| 1972135200 | Absolute Care LLC | Foster Care Agency | 5847 Naneva Ct, West Bloomfield, MI 48322-2517 | 2020-02-05 |
| 1699315556 | Reliance Manor LLC | Foster Care Agency | 35156 Ecorse Rd, Romulus, MI 48174-1640 | 2020-01-08 |
| 1235789553 | Dorthie Bolden | Foster Care Agency | 7027 Baseline Rd, South Haven, MI 49090-8338 | 2019-09-18 |
| 1457909509 | Sallie Mae Emert | Foster Care Agency | 2850 W Leinaar Rd, Delton, MI 49046-9567 | 2019-09-02 |
| 1366096638 | Balmoral Living LLC. | Foster Care Agency | 32741 Balmoral Knls, Farmington Hills, MI 48334-1608 | 2019-07-25 |
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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.