SAMARITAS (NPI# 1366633018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366633018 |
| Entity Type | Organization |
| Organization Name | SAMARITAS |
| Other Organization Name | SAMARITAS SENIOR LIVING CADILLAC |
| Practice Address |
460 Pearl St Cadillac MI 49601-2620 |
| Mailing Address |
8131 E Jefferson Ave Detroit MI 48214-2610 |
| Practice Telephone | 2317750101 |
| Practice Fax Number | 2317751390 |
| Mailing Telephone | 3138237700 |
| Mailing Fax Number | 3138239604 |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2019-04-16 |
| Authorized Official Name | JENNY CEDERSTROM (CFO) |
| Authorized Official Telephone | 3133082764 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 844020 | MI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | 09537 | 01 |
| MI | 5189936 | 05 |
| Other Name | Type Code |
|---|---|
| Lakeview Lutheran Manor | Doing Business As Name - Organization |
| Lutheran Social Services of Michigan | Former Legal Business Name - Organization |
| Samaritas Senior Living Cadillac | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407487168 | Samaritas | Counselor | 313 Lansing St Ste 5, Charlotte, MI 48813-1675 | 2020-01-31 |
| 1487106944 | Samaritas | Assisted Living Facility | 4354 Mount Hope Rd, Williamsburg, MI 49690-9210 | 2016-11-01 |
| 1871998310 | Samaritas | Foster Care Agency | 3820 Packard St Ste 170, Ann Arbor, MI 48108-5000 | 2014-10-27 |
| 1972860005 | Samaritas | Psychologist | 128 S Cochran Ave, Charlotte, MI 48813-1510 | 2012-04-13 |
| 1629238878 | Samaritas | Assisted Living Facility | 1900 32nd St Se, Grand Rapids, MI 49508-7908 | 2008-06-11 |
| 1740376920 | Samaritas | Community/Behavioral Health | 8131 E Jefferson Ave, Detroit, MI 48214-2610 | 2006-10-05 |
| 1750374914 | Samaritas | Skilled Nursing Facility | 1950 32nd St Se, Grand Rapids, MI 49508-7909 | 2005-08-23 |
| 1588292601 | Samaritas | Psychologist | 923 S Beechtree St Ste 10, Grand Haven, MI 49417-2306 | 2020-04-01 |
| 1730337288 | Samaritas | Community/Behavioral Health | 8131 E Jefferson Ave, Detroit, MI 48214-2610 | 2008-09-08 |
| Street Address |
460 PEARL ST |
| City | CADILLAC |
| State | MI |
| Zip Code | 49601-2620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407849656 | Lakeview Lutheran Manor | Skilled Nursing Facility | 460 Pearl St, Cadillac, MI 49601-2620 | 2005-08-23 |
| 1023642972 | Sherrie Lynn Morgan | Occupational Therapy Assistant | 460 Pearl St, Cadillac, MI 49601-2620 | 2020-03-01 |
| 1528534500 | Kristin Marie Schoo | Speech-Language Pathologist | 460 Pearl St, Cadillac, MI 49601-2699 | 2018-10-17 |
| 1669874434 | Michelle Vanklompenberg | Contractor | 460 Pearl St, Cadillac, MI 49601-2620 | 2014-09-23 |
| 1518371749 | Teresa Skiver | Physical Therapy Assistant | 460 Pearl St, Cadillac, MI 49601-2620 | 2014-06-16 |
| 1124432356 | Lisa Christine Gottleber | Occupational Therapist | 460 Pearl St, Cadillac, MI 49601-2620 | 2014-06-16 |
| 1720378086 | Thomas L Outman | Occupational Therapist | 460 Pearl St, Cadillac, MI 49601 | 2011-04-07 |
| 1114250263 | Mary Ryan Drouillard | Registered Nurse | 460 Pearl St, Cadillac, MI 49601-2620 | 2009-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720691983 | Hailey Amlott | Pharmacist | Walgreens 07660, 1220 N. Mitchell Street, Cadillac, MI 49601 | 2020-08-27 |
| 1558901454 | Diane Lyn Stearns | Physical Therapy Assistant | Samaritas Senior Living, 460 Pearl Street, Cadillac, MI 49601 | 2020-01-09 |
| 1902363013 | Marcella Marie Metzger | Pharmacist | 520 Cobb Street, Cadillac, MI 49601 | 2019-02-25 |
| 1558864447 | Tricia Wing | Physical Therapist | 704 Oak Street, Cadillac, MI 49601 | 2018-03-16 |
| 1386174134 | Marjorie Middel | Social Worker | 1909 N. Mitchell Street, Aleda E. Lutz Veterans Affairs Medical Center Cadillac, Cadillac, MI 49601 | 2017-06-14 |
| 1841726171 | T & M Helping Hand | Home Health | 325 Howard St, Cadillac, MI 49601 | 2017-05-05 |
| 1841731486 | Vicki Lynne Schutte | Behavior Technician | 7716 S. 27 Rd, Cadillac, MI 49601 | 2017-03-15 |
| 1518407220 | Rosanne Marie Denny | Behavior Technician | 605 Cadillac Shores Dr #106, Cadillac, MI 49601 | 2017-02-28 |
| 1821495532 | James David Shadoan | Family Medicine | 133 N. Shore Dr E., Cadillac, MI 49601 | 2014-11-24 |
| 1841632007 | Serenity Adult Foster Care Home LLC | Foster Care Agency | 2883 S. 41 Rd., Cadillac, MI 49601 | 2013-07-29 |
| Find all providers in zip 49601 | ||||
| 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 |
|---|---|---|---|---|
| 1275822991 | Jessica M Allen | Skilled Nursing Facility | 419 Linden St, Cadillac, MI 49601-1703 | 2011-04-04 |
| 1407849656 | Lakeview Lutheran Manor | Skilled Nursing Facility | 460 Pearl St, Cadillac, MI 49601-2620 | 2005-08-23 |
| 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 | ||||
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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.