KINDRED SPIRIT (NPI# 1376819110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376819110 |
| Entity Type | Organization |
| Organization Name | KINDRED SPIRIT |
| Practice Address |
2320 W Dodge Rd Clio MI 48420-1664 |
| Practice Telephone | 8106861710 |
| Practice Fax Number | 8106868939 |
| Mailing Telephone | 8106861710 |
| Mailing Fax Number | 8106868939 |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |
| Authorized Official Name | MRS. LOIS MONTAGUE (HOUSE PARENT) |
| Authorized Official Telephone | 8106861710 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
AM250273429 | MI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MEDICARE | 366-46-3608-C1 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144472721 | Kindred Spirit | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2320 W Dodge Rd, Clio, MI 48420-1664 | 2008-10-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | KINDRED SPIRIT BIRTH SERVICES LLC | 402 N Flood, Norman, OK 73069 |
| Colorado Business Entities | Kindred Spirit Canine Services LLC | 11902 W 84th Pl, Arvada, CO 80005-5162 |
| Washington State Corporations | KINDRED SPIRIT CHARTERS, L.L.C. | 7432 121st Ave Se, Newcastle, WA 98056 |
| New York State Corporations | KINDRED SPIRIT CONSTRUCTION INC | 20 Patton Lane, Cheektowaga, Ny 14225 |
| Indiana Business Entities | KINDRED SPIRIT ENTERPRISES | 500 Ashland St, Brownstown, IN 47220 |
| Colorado Business Entities | Kindred Spirit Equine Services, LLC | 17650 E. Hinsdale Ave., Foxfield, CO 80016 |
| Colorado Business Entities | Kindred Spirit Evolution, LLC | 11799 Brown Fox Ln., Alamosa, CO 81101 |
| Washington State Corporations | KINDRED SPIRIT FV, LLC | 7055 Ne Mallory Ave, Portland, OR 97211-2323 |
| Indiana Business Entities | KINDRED SPIRIT INVESTMENTS | 500 Ashland Street, Brownstown, IN 47220 |
| Washington State Corporations | KINDRED SPIRIT INVESTMENTS, L.L.C. | 7432 121st Ave Se, Newcastle, WA 98056 |
| Street Address |
2320 W DODGE RD |
| City | CLIO |
| State | MI |
| Zip Code | 48420-1664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144472721 | Kindred Spirit | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2320 W Dodge Rd, Clio, MI 48420-1664 | 2008-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629544382 | Erika Joyclyn Marie Ahmad | Behavioral Analyst | Nation of Wonders Inclusive Education, 19211 Beech Daly, Redford, MI 48420 | 2018-10-22 |
| 1770990335 | Matthew Kanelos | Physician Assistant | 11307 N Linden Rd, B, Clio, MI 48420 | 2014-07-16 |
| 1184968679 | Amd Urgent Medical Care, Pllc | Clinic/Center | 11307 N. Linden Rd Suite B, Clio, MI 48420 | 2012-11-21 |
| 1790032928 | Stephanie Rasmussen | Speech-Language Pathologist | 509 Hidden Creek Trail, Clio, MI 48420 | 2012-08-07 |
| 1386976801 | Kathryn Sue Klamert | Occupational Therapist | 12194 Neff Road, Clio, MI 48420 | 2010-02-09 |
| 1699836346 | Stone Creek Manor | Technician | 609 Stone Creek Pass, Clio, MI 48420 | 2006-12-13 |
| 1518061985 | Visiting Nurse Services of Michigan | Durable Medical Equipment & Medical Supplies | 11493 N. Linden Rd, Clio, MI 48420 | 2006-09-07 |
| 1619084712 | Lorraine Byers-miller | Optometrist | 11493 North Linden Rd, Clio, MI 48420 | 2006-08-24 |
| 1093766370 | Donald Christ Lutz | Podiatrist | 4091 W Vienna Rd, Clio, MI 48420 | 2006-05-12 |
| 1619306875 | Borden S Family Pharmacy LLC | Pharmacy | 415 W Vienna St, Clio, MI 48420 | 2013-11-07 |
| Find all providers in zip 48420 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881201267 | Living Waters Buell Lake | Custodial Care Facility | 13515 N Genesee Rd, Clio, MI 48420-9190 | 2020-09-29 |
| 1700144730 | Brannon Residential Achievement Group, Inc | Custodial Care Facility | 1376 E Hurd Rd, Clio, MI 48420-7926 | 2012-04-27 |
| 1447526769 | Gross Adult Foster Care Inc | Custodial Care Facility | 5286 E Vienna Rd, Clio, MI 48420-9770 | 2012-03-30 |
| 1568494581 | Summersliving Systems,inc. | Custodial Care Facility | 5514 W Vienna Rd, Clio, MI 48420-8273 | 2006-07-07 |
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|---|---|---|---|---|
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| 1306452917 | Caring Hearts Afc | Custodial Care Facility | 1029 Westmoreland Ave, Kalamazoo, MI 49006-5567 | 2020-09-18 |
| 1790397594 | St. Ruth's House of Hope LLC | Custodial Care Facility | 3100 S Electric St, Detroit, MI 48217-1133 | 2020-08-21 |
| 1497364442 | Bolton Brook Manor | Custodial Care Facility | 4554 Thomas Rd, Metamora, MI 48455-9220 | 2020-07-27 |
| 1578171104 | Dream Housing Opportunities LLC | Custodial Care Facility | 304 Wetmore St, Howell, MI 48843-1559 | 2020-07-20 |
| 1194343046 | Creekside Place, Inc. | Custodial Care Facility | 7251 N Briarcliff Knoll Dr, West Bloomfield, MI 48322-4049 | 2020-07-08 |
| 1174140420 | Linda Perrault | Custodial Care Facility | 1551 S Hickory Ridge Rd, Milford, MI 48380-1519 | 2020-07-02 |
| 1063039923 | Visel Afc, Inc. | Custodial Care Facility | 6565 Whitneyville Ave Se, Alto, MI 49302-9027 | 2020-06-26 |
| 1982226775 | August Winter House, Inc. | Custodial Care Facility | 2111 N Latson Rd, Howell, MI 48855-9750 | 2020-05-14 |
| 1962023713 | Aleardis Lilac Inn | Custodial Care Facility | 6385 W Norma Lee St, West Bloomfield, MI 48322-3224 | 2020-05-04 |
| 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.