YMCA CAMP MANITOU-LIN (NPI# 1487180493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487180493 |
| Entity Type | Organization |
| Organization Name | YMCA CAMP MANITOU-LIN |
| Practice Address |
1095 N Briggs Rd Middleville MI 49333-9700 |
| Practice Telephone | 2697959163 |
| Practice Fax Number | 2697951629 |
| Mailing Telephone | 2697959163 |
| Mailing Fax Number | 2697951629 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |
| Authorized Official Name | KARIN DENMAN (OPERATIONS DIRECTOR) |
| Authorized Official Telephone | 2697959163 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2050X |
Respite Care Specialization: Respite Care Camp |
SR080200024 | MI | Respite Care Facility |
| Street Address |
1095 N BRIGGS RD |
| City | MIDDLEVILLE |
| State | MI |
| Zip Code | 49333-9700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831658046 | Tina Mccall | Licensed Practical Nurse | 1773 N Michigan 37, Middleville, MI 49333 | 2019-03-18 |
| 1609085158 | Gina Marie Biersack | Dentist | 4525 N M-37 Highway, Suite A, Middleville, MI 49333 | 2007-05-22 |
| 1124068424 | Michael D Castleman | Dentist | 4710 N M37 Highway, Middleville, MI 49333 | 2006-06-07 |
| 1487605531 | Douglas James Smendik | Family Medicine | 490 Edward Street, Middleville, MI 49333 | 2006-05-13 |
| 1588711675 | Bret A Hoxworth | Psychologist | 126 E Main St Ste B, Middleville, MI 49333 | 2007-01-04 |
| 1346308780 | Tammy L Trudell Hull | Social Worker | 402 Thornton St, Middleville, MI 49333 | 2006-12-05 |
| 1699836528 | Candace Ann Johnson | Social Worker | 402 Thornton St, Middleville, MI 49333-0339 | 2006-12-13 |
| 1124107248 | Thornapple Township | Ambulance | 128 High Street, Middleville, MI 49333-0459 | 2006-11-02 |
| 1720619257 | Angela Marie Compton | Dental Hygienist | 2668 Applewine, Middleville, MI 49333-8052 | 2020-02-03 |
| 1568095628 | Kenneth D Jefferson Jr. | Health Educator | 5623 Fieldstone Ct, Middleville, MI 49333-8110 | 2020-02-18 |
| Find all providers in zip 49333 | ||||
| Taxonomy Code | 385HR2050X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care Camp |
| A camping facility that provides specialized respite care to individuals requiring enhanced services to enable them to remain in the community, (e.g., those with developmental delays, mental retardation, mental/behavioral disorders). The staff must have training in working with the target populations and dealing with emergency situations which might be related to or exacerbate the individual's condition. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477179430 | Emily L Lourim | Respite Care | 1850 Kristin Dr, Troy, MI 48084-1451 | 2020-06-24 |
| 1083127880 | The Arc Shiawassee County Inc | Respite Care | 1905 West M-21, Owosso, MI 48867 | 2017-11-15 |
| 1891221842 | Allegan County 4-h Clubs | Respite Care | 39000 1st Ave, Bloomingdale, MI 49026-9743 | 2017-05-11 |
| 1942736095 | Pine Ridge Bible Camp & Conference Center, Inc. | Respite Care | 8415 17 Mile Rd Ne, Cedar Springs, MI 49319-9220 | 2017-05-11 |
| 1548639420 | Charter Township of Canton | Respite Care | 46000 Summit Pkwy, Canton, MI 48188-3268 | 2015-09-21 |
| 1194093500 | Alhambra St. Francis Camp On The Lake | Respite Care | 10120 Murrey Rd, Jerome, MI 49249-9534 | 2011-12-13 |
| 1104124759 | Care Adult Day Care Inc. | Respite Care | 31521 W Stonewood Ct, Farmington Hills, MI 48334-2547 | 2011-03-07 |
| 1972817351 | The Fowler Center | Respite Care | 2315 Harmon Lake Rd, Mayville, MI 48744-9737 | 2010-07-28 |
| 1891008991 | Camp Grace Bentley | Respite Care | 1877 Maryland Blvd, Birmingham, MI 48009-4119 | 2010-07-17 |
| 1629381868 | Indian Trails Camp, Inc. | Respite Care | O-1859 Lake Michigan Dr Nw, Grand Rapids, MI 49534-9578 | 2010-07-16 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLEVILLE |
| Zip Code | 49333 |
Please comment or provide details below to improve the information on YMCA CAMP MANITOU-LIN.
| 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.