CYNTHIA BUSHNELL (NPI# 1447781984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447781984 |
| Entity Type | Individual |
| Full Name | CYNTHIA BUSHNELL |
| Practice Address |
2845 Leonard St Ne Grand Rapids MI 49525-5826 |
| Practice Telephone | 6169490859 |
| Practice Fax Number | 6169490859 |
| Mailing Telephone | 6169490859 |
| Mailing Fax Number | 6169490859 |
| Enumeration Date | 2017-03-26 |
| Last Update Date | 2017-03-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
AF410269952 | MI | Nursing & Custodial Care Facilities |
| Street Address |
2845 LEONARD ST NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525-5826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| 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 |
|---|---|---|---|---|
| 1851893176 | Mike's Way Inc | Custodial Care Facility | 1552 Robinson Rd Se, Grand Rapids, MI 49506-1748 | 2018-03-02 |
| 1336655034 | Michael D Wagner | Custodial Care Facility | 807 Pine Ave Nw, Grand Rapids, MI 49504-4340 | 2017-12-18 |
| 1518496900 | 733 Prince LLC | Custodial Care Facility | 733 Prince St Se, Grand Rapids, MI 49507 | 2017-06-08 |
| 1689102931 | Jerry's Dream Adult Homes | Custodial Care Facility | 1124 W Leonard Ct Nw, Grand Rapids, MI 49534-6835 | 2017-05-31 |
| 1801324538 | Tenagne Mengistu | Custodial Care Facility | 604 Jefferson Ave Se, Grand Rapids, MI 49503-5218 | 2017-05-25 |
| 1649708488 | Extended Care At Ramsdell | Custodial Care Facility | 3109 Lawton Dr Ne, Grand Rapids, MI 49525-2916 | 2017-05-24 |
| 1700314564 | Covenant Enabling Residences of Michigan | Custodial Care Facility | 340 Thornridge Ct Nw, Grand Rapids, MI 49504-5887 | 2017-05-24 |
| 1285161257 | Caring Meadows Living Center Inc | Custodial Care Facility | 1171 Lafayette Ave Se, Grand Rapids, MI 49507-1108 | 2017-05-22 |
| 1548796576 | Nathan Bieszka | Custodial Care Facility | 3671 Senora Ave Se, Grand Rapids, MI 49508-5501 | 2017-05-11 |
| 1306372396 | Holton Management, LLC | Custodial Care Facility | 2101 Francis Ave Se, Grand Rapids, MI 49507-3016 | 2017-05-11 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
Please comment or provide details below to improve the information on CYNTHIA BUSHNELL.
| 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.