BETHANY CARE CENTER L.L.C (NPI# 1245242676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245242676 |
| Entity Type | Organization |
| Organization Name | BETHANY CARE CENTER L.L.C |
| Other Organization Name | METRON OF BLOOMINGDALE |
| Practice Address |
42235 County Road 390 Bloomingdale MI 49026-8753 |
| Mailing Address |
3075 Orchard Vista Dr Se Suite 100 Grand Rapids MI 49546-7069 |
| Practice Telephone | 2695213383 |
| Practice Fax Number | 2695213370 |
| Mailing Telephone | 6169573957 |
| Mailing Fax Number | 6169571556 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2008-11-21 |
| 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 | 804010 | MI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS | 9742 | 01 |
| MI | 3018617 | 05 |
| Other Name | Type Code |
|---|---|
| Metron of Bloomingdale | Doing Business As Name - Organization |
| Street Address |
42235 COUNTY ROAD 390 |
| City | BLOOMINGDALE |
| State | MI |
| Zip Code | 49026-8753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962980334 | Lisa Michelle Glass | Occupational Therapist | 42235 County Road 390, Bloomingdale, MI 49026-8753 | 2018-07-29 |
| 1336635572 | Erika Kristine Rockenstein | Occupational Therapist | 42235 County Road 390, Bloomingdale, MI 49026-8753 | 2018-07-10 |
| 1730364324 | Bloomingdale Care Operating Co LLC | Skilled Nursing Facility | 42235 County Road 390, Bloomingdale, MI 49026-8753 | 2008-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962839936 | Cozy Hill A.f.c. L.L.C. | Assisted Living Facility | 09441 44th Street, Bloomingdale, MI 49026 | 2013-10-04 |
| 1467725234 | Rebecca Mae Forbes | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 130 45th St, Bloomingdale, MI 49026-9502 | 2012-02-09 |
| 1124310818 | Hernandez Home LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 94 45th St, Bloomingdale, MI 49026-9502 | 2011-05-12 |
| 1700943305 | Breeze Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 06899 44th St, Bloomingdale, MI 49026-9706 | 2007-01-02 |
| 1205006640 | Daniel A. King | Durable Medical Equipment & Medical Supplies | 06899 44th St, Bloomingdale, MI 49026-9706 | 2008-02-29 |
| 1891268611 | Companion Care Ih-home Help Aides, LLC | Home Health | 602 E Kalamazoo St, Bloomingdale, MI 49026-9729 | 2019-01-03 |
| 1891221842 | Allegan County 4-h Clubs | Respite Care | 39000 1st Ave, Bloomingdale, MI 49026-9743 | 2017-05-11 |
| 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 |
|---|---|---|---|---|
| 1194149807 | Bloomingdale Nursing & Rehabilitation LLC | Skilled Nursing Facility | 255 Union Ave, Bloomingdale, NJ 07403-1924 | 2014-02-17 |
| 1467449280 | Alden-valley Ridge Rehabilitation and Health Care Center, Inc. | Skilled Nursing Facility | 275 E Army Trail Rd, Bloomingdale, IL 60108-2135 | 2005-10-06 |
| 1881681245 | Bloomingdale Pavilion, LLC | Skilled Nursing Facility | 311 Edgewater Dr, Bloomingdale, IL 60108-1979 | 2005-09-30 |
| 1003800830 | Lexington Health Care Center of Bloomingdale Inc | Skilled Nursing Facility | 165 S Bloomingdale Rd, Bloomingdale, IL 60108-1434 | 2005-09-08 |
| 1326315607 | Lhcc of Bloomingdale | Skilled Nursing Facility | 165 S Bloomingdale Rd, Bloomingdale, IL 60108-1434 | 2011-11-30 |
| 1730364324 | Bloomingdale Care Operating Co LLC | Skilled Nursing Facility | 42235 County Road 390, Bloomingdale, MI 49026-8753 | 2008-01-02 |
| 1538342456 | West Suburban Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 311 Edgewater Dr, Bloomingdale, IL 60108-1979 | 2007-12-13 |
| 1952419087 | West Suburban Care Center, LLC | Skilled Nursing Facility | 311 Edgewater Dr, Bloomingdale, IL 60108-1979 | 2006-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538798731 | Windemere Park of Troy Operations LLC | Skilled Nursing Facility | 5990 N Adams Rd, Troy, MI 48098-2377 | 2020-04-08 |
| 1982235396 | Berg-lahser Snf, LLC | Skilled Nursing Facility | 21630 Hessel Ave # 1230, Detroit, MI 48219-1230 | 2020-02-04 |
| 1508497918 | Harmony Village Snf, LLC | Skilled Nursing Facility | 16588 Schaefer Hwy # 4249, Detroit, MI 48235-4249 | 2020-02-04 |
| 1336795244 | Ishpeming Nursing & Rehab Center, LLC | Skilled Nursing Facility | 435 Rd Pl, Ishpeming, MI 49849 | 2019-08-15 |
| 1669965299 | Wellbridge of Clarkston, LLC | Skilled Nursing Facility | 5655 Clarkston Road, Independence Township, MI 48348 | 2018-06-08 |
| 1104318112 | Wellbridge At Genesys Health Park, LLC | Skilled Nursing Facility | 3139 East Baldwin Road, Grand Blanc, MI 48439 | 2018-06-05 |
| 1427549955 | Mission Point of Detroit, LLC | Skilled Nursing Facility | 2102 Orleans, Detroit, MI 48207 | 2018-05-21 |
| 1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
| 1972092344 | Regency At Grand Haven, LLC | Skilled Nursing Facility | 17049 Comstock St, Grand Haven, MI 49417-7903 | 2018-05-01 |
| 1093214173 | Sana Nasir Inc. | Skilled Nursing Facility | 13840 King Rd, Riverview, MI 48193 | 2018-02-05 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGDALE |
| Zip Code | 49026 |
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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.