CASCADE CARE CENTER, INC (NPI# 1235141151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235141151 |
| Entity Type | Organization |
| Organization Name | CASCADE CARE CENTER, INC |
| Other Organization Name | METRON OF FOREST HILLS |
| Practice Address |
1095 Medical Park Dr Se Grand Rapids MI 49546-3607 |
| Mailing Address |
4630 Plainfield Avenue Ne Suite 100 Grand Rapids MI 49525 |
| Practice Telephone | 6169497220 |
| Practice Fax Number | 6169566947 |
| Mailing Telephone | 6169573957 |
| Mailing Fax Number | 6169571556 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2008-12-10 |
| Authorized Official Name | MR. J LINDSEY DOOD (EXECUTIVE VICE PRESIDENT / CFO) |
| Authorized Official Telephone | 6169755287 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 414330 | MI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2086096 | 05 | |
| BLUE CROSS | 9828 | 01 |
| Other Name | Type Code |
|---|---|
| Metron of Forest Hills | Doing Business As Name - Organization |
| Street Address |
1095 MEDICAL PARK DR SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-3607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881225621 | Mission Point of Forest Hills, LLC | Skilled Nursing Facility | 1095 Medical Park Dr Se, Grand Rapids, MI 49546-3685 | 2020-01-30 |
| 1003474362 | Jill Margret Bradway | Speech-Language Pathologist | 1095 Medical Park Dr Se, Grand Rapids, MI 49546-3685 | 2019-06-03 |
| 1194217513 | Mary Beth Sawinski | Physical Therapist | 1095 Medical Park Dr Se, Grand Rapids, MI 49546-3685 | 2018-06-01 |
| 1205333408 | Kelsey Lynn Liddil | Occupational Therapist | 1095 Medical Park Dr Se, Grand Rapids, MI 49546-3685 | 2018-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| 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 |
|---|---|---|---|---|
| 1396975546 | Porter Hills Presbyterian Village, Inc. | Skilled Nursing Facility | 1029 E Paris Ave Se, Grand Rapids, MI 49546-3603 | 2009-07-22 |
| 1578739827 | St Ann's Home | Skilled Nursing Facility | 2161 Leonard Nw, Grand Rapids, MI 49504 | 2008-05-07 |
| 1922296730 | Lisa Ann Mervenne | Skilled Nursing Facility | 2520 Lake Michigan Dr Nw, Grand Rapids, MI 49504-4696 | 2007-10-05 |
| 1730256207 | Welcov Healthcare LLC | Skilled Nursing Facility | 2801 S Highway 169, Grand Rapids, MN 55744-9552 | 2006-11-29 |
| 1992892525 | Trinity Continuing Care Services | Skilled Nursing Facility | 1050 4 Mile Rd Nw, Grand Rapids, MI 49544-1505 | 2006-10-06 |
| 1568554566 | Covenant Living of The Great Lakes | Skilled Nursing Facility | 2520 Lake Michigan Drive Nw, Grand Rapids, MI 49504-4696 | 2006-09-28 |
| 1033137005 | Audrich, Inc. | Skilled Nursing Facility | 24201 3rd St, Grand Rapids, OH 43522-9785 | 2006-07-18 |
| 1205878998 | Heartland of Grand Rapids Mi LLC | Skilled Nursing Facility | 2320 E Beltline Ave Se, Grand Rapids, MI 49546-5906 | 2006-06-10 |
| 1184662793 | Itasca Nursing Home | Skilled Nursing Facility | 923 Hale Lake Pointe, Grand Rapids, MN 55744-9615 | 2006-06-04 |
| 1972557460 | Holland Home | Skilled Nursing Facility | 1450 East Fulton, Grand Rapids, MI 49503-3854 | 2006-05-20 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
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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.