KALAMAZOO CARE CENTER, INC (NPI# 1386656775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386656775 |
| Entity Type | Organization |
| Organization Name | KALAMAZOO CARE CENTER, INC |
| Other Organization Name | METRON OF KALAMAZOO |
| Practice Address |
1430 Alamo Ave Kalamazoo MI 49006-2216 |
| Mailing Address |
3075 Orchard Vista Dr Se Suite 100 Grand Rapids MI 49546-7069 |
| Practice Telephone | 2693492661 |
| Practice Fax Number | 2693498275 |
| 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 | 394110 | MI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4221529 | 05 |
| Other Name | Type Code |
|---|---|
| Metron of Kalamazoo | Doing Business As Name - Organization |
| Street Address |
1430 ALAMO AVE |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49006-2216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013455989 | Lauren Gentry | Counselor | 213 S. Kendall Apt 201, Kalamazoo, MI 49006 | 2017-02-10 |
| 1588055768 | Rashida Al-gharib | Counselor | 10107 Boswell Lane, Kalamazoo, MI 49006 | 2015-02-10 |
| 1174913420 | Teesha Lynn Bancroft | Specialist | 329 S Sage St, Kalamazoo, MI 49006 | 2015-01-26 |
| 1801293493 | Ayaz Jaffer | Pharmacist | 5100 Century Avenue, Kalamazoo, MI 49006 | 2014-11-25 |
| 1609207695 | Karen Irene Zantjer | Occupational Therapist | 2575 N Drake, Tendercare Westwood, Kalamazoo, MI 49006 | 2013-12-02 |
| 1629313614 | Jessica Korneder | Behavioral Analyst | 3621 Kenbrooke Court, Kalamazoo, MI 49006 | 2012-12-03 |
| 1508101635 | Gerald Lamont Brooks | Counselor | 4017 W. Main Suite 100, Kalamazoo, MI 49006 | 2012-11-29 |
| 1932356979 | Joy Ann Mcgrath | Occupational Therapist | 1400 North Drake Road, Friendship Village of Kalamazoo, Kalamazoo, MI 49006 | 2008-08-21 |
| 1306901103 | Frederick G Greaves | Psychologist | 4031 W Main, Kalamazoo, MI 49006 | 2006-12-22 |
| 1629162300 | John F Hemmer | Social Worker | 1530 Nichols Road, Kalamazoo, MI 49006 | 2006-10-03 |
| Find all providers in zip 49006 | ||||
| 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 |
|---|---|---|---|---|
| 1851331631 | Heartland of Kalamazoo Mi LLC | Skilled Nursing Facility | 3625 W Michigan Ave, Kalamazoo, MI 49006-5427 | 2006-06-08 |
| 1376590851 | Tendercare Michigan Inc. | Skilled Nursing Facility | 2575 N Drake Rd, Kalamazoo, MI 49006-1358 | 2006-05-28 |
| 1306893805 | Tendercare Kalamazoo Inc. | Skilled Nursing Facility | 1701 S Eleventh St, Kalamazoo, MI 49009-1775 | 2006-05-28 |
| 1598719510 | Fountains Bronson Place Sl, LLC | Skilled Nursing Facility | 1451 Bronson Way, Kalamazoo, MI 49009-3306 | 2006-05-22 |
| 1912963190 | Borgess Nursing Home Inc | Skilled Nursing Facility | 3057 Gull Rd, Kalamazoo, MI 49048-1281 | 2006-04-25 |
| 1124002910 | Harold and Grace Upjohn Community Care Center | Skilled Nursing Facility | 2400 Portage St, Kalamazoo, MI 49001-3728 | 2005-12-05 |
| 1649261488 | Lifecare, Inc. | Skilled Nursing Facility | 1400 N Drake Rd, Kalamazoo, MI 49006 | 2005-11-01 |
| 1821087701 | Alamo Nursing Home, Inc. | Skilled Nursing Facility | 8290 W C Ave, Kalamazoo, MI 49009-8825 | 2005-10-14 |
| 1841736725 | Kalamazoo Opco II, LLC | Skilled Nursing Facility | 3625 W Michigan Ave, Kalamazoo, MI 49006-5427 | 2017-01-16 |
| 1245618339 | Watermark Bronson Place, LLC | Skilled Nursing Facility | 1451 Bronson Way, Kalamazoo, MI 49009-3306 | 2015-05-11 |
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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.