COUNTRY HAVEN (NPI# 1225564768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225564768 |
| Entity Type | Organization |
| Organization Name | COUNTRY HAVEN |
| Practice Address |
413 E Muskegon St Cedar Springs MI 49319-9596 |
| Practice Telephone | 6162910530 |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2017-05-03 |
| Authorized Official Name | THOMAS CRONKRIGHT (OWNER) |
| Authorized Official Telephone | 6162910530 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
AM410008796 | MI | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | COUNTRY HAVEN CORPORATION | 6762 N 150 W, Bloomingdale, IN 47832 |
| Washington State Corporations | COUNTRY HAVEN ELDERLY CARE, LLC | 1126 Se Ellsworth Rd, Vancouver, WA 98664 |
| Indiana Business Entities | COUNTRY HAVEN FARM, INC. | 4825 S. Pothast Place, West Terre Haute, IN 47885 |
| Iowa Business Entities | COUNTRY HAVEN GARDENS & FLORAL BOUTIQUE LLC | 105 E Market St Ste 1, New Sharon, IA 50207 |
| Iowa Business Entities | COUNTRY HAVEN GUEST HOMES, LTD. | 2490 Prairie View Ave, Winterset, IA 50273 |
| Indiana Business Entities | COUNTRY HAVEN INC | Rr 2, Center Point, IN 47840 |
| Oregon Corporations, Companies and Business Names | COUNTRY HAVEN INVESTMENTS LLC | 2206 Country Haven Dr, Eugene, OR 97408 |
| New York State Corporations | COUNTRY HAVEN LLC | 3838 Ray Mert Dr. Suite 132, Las Vegas, Nv 89121 |
| Washington State Corporations | COUNTRY HAVEN PROPERTIES LLC | 205 Hidden Meadow Dr, Wenatchee, WA 98801-9435 |
| North Carolina Corporations | Country Haven Property Owners` Association Inc. | 114 North 6th Street, Wilmington, NC 28401 |
| Street Address |
413 E MUSKEGON ST |
| City | CEDAR SPRINGS |
| State | MI |
| Zip Code | 49319-9596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689218158 | Jodi Ann Cornelius | Counselor | 16519 Doe Dr Ne, Cedar Springs, MI 49319 | 2019-10-29 |
| 1235643131 | Sarah Elizabeth Martines | Behavior Technician | 64 Hemlock Ave, Cedar Springs, MI 49319 | 2017-11-30 |
| 1881834455 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 3700 17 Mile Rd Ne, Cedar Springs, MI 49319 | 2009-02-23 |
| 1588748313 | Craig Louis Wilson | Chiropractor | 26 S Main, Box 279, Cedar Springs, MI 49319 | 2006-10-25 |
| 1770502387 | Thomas Bernard Cox | Physician Assistant | 261 N. Main Street, Cedar Springs, MI 49319 | 2006-07-18 |
| 1861972986 | Kathrine E Post | Nurse Practitioner | 14211 White Creek Ave Ne, Cedar Springs, MI 49319 | 2018-08-17 |
| 1265451884 | Alissa Marie Matthews | Physician Assistant | 261 N. Main Street, Cedar Springs, MI 49319 | 2006-07-18 |
| 1598934150 | Cedar Springs Eye Care Inc | Optometrist | 26 S Main, Cedar Springs, MI 49319-5118 | 2008-02-27 |
| 1588939375 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 3700 17 Mile Rd, Cedar Springs, MI 49319-7974 | 2012-03-13 |
| 1225449515 | Jason Patrick Housner | Pharmacist | 3700 17 Mile Rd Ne, Cedar Springs, MI 49319-7974 | 2014-05-08 |
| Find all providers in zip 49319 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947703 | Bay City Comfort Care | Assisted Living Facility | 4130 Shrestha Dr, Bay City, MI 48706-2184 | 2020-06-19 |
| 1548807142 | Mother of Grace LLC | Assisted Living Facility | 7947 Tulane St, Taylor, MI 48180-2321 | 2019-12-03 |
| 1881231629 | Better Life Residential Care Inc | Assisted Living Facility | 4444 Lincoln Blvd, Dearborn Hts, MI 48125-2568 | 2019-11-27 |
| 1700433042 | Golden Life Afc LLC | Assisted Living Facility | 10710 Roy Dr, Greenville, MI 48838-9105 | 2019-08-21 |
| 1225513468 | Harmony Hearts Village LLC | Assisted Living Facility | 7773 Sherwood St, Detroit, MI 48211-1785 | 2018-10-03 |
| 1699277004 | Leann Renee Gastelum | Assisted Living Facility | 19301 Winthrop St, Detroit, MI 48235 | 2018-03-01 |
| 1245769991 | Mecca House Corporation | Assisted Living Facility | 53 West Huron, Pontiac, MI 48342 | 2017-06-07 |
| 1205382389 | B&r Holistic Care Housing, LLC | Assisted Living Facility | 19303 Mark Twain St, Detroit, MI 48235-1914 | 2016-08-29 |
| 1841683158 | Hill's Support Services Inc. | Assisted Living Facility | 6430 Washington St, Romulus, MI 48174-1742 | 2015-03-11 |
| 1891198057 | Pinecrest Farms | Assisted Living Facility | 413 N Homer Rd, Midland, MI 48640-8646 | 2014-10-02 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR SPRINGS |
| Zip Code | 49319 |
Please comment or provide details below to improve the information on COUNTRY HAVEN.
| 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.