MIDMICHIGAN STRATFORD VILLAGE (NPI# 1487767026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487767026 |
| Entity Type | Organization |
| Organization Name | MIDMICHIGAN STRATFORD VILLAGE |
| Practice Address |
2121 Rockwell Drive Midland MI 48642-9316 |
| Practice Telephone | 9896335350 |
| Mailing Telephone | 9896335350 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2013-08-26 |
| Authorized Official Name | JAN WRZESINSKI (PATIENT ACCOUNTING MANAGER) |
| Authorized Official Telephone | 9896331486 |
| Is Organization Subpart | Y |
| Parent Organization Name | MIDMICHIGAN HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | 564011 | MI | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 1070000265 | MI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1766453 | 05 | |
| MI | BCBSM | 09693 | 01 |
| Street Address |
2121 ROCKWELL DRIVE |
| City | MIDLAND |
| State | MI |
| Zip Code | 48642-9316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609488378 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 4816 Bay City Rd, Midland, MI 48642 | 2020-08-23 |
| 1033762166 | Landon Reed | Occupational Therapist | 5600 Waldo Ave, Midland, MI 48642 | 2019-07-17 |
| 1609436062 | Rostam Adult and Pediatric Medicine Midland Pllc | Family Medicine | 801 Joe Mann Blvd, Suite H, Midland, MI 48642 | 2019-06-18 |
| 1194295758 | Shirley Curtiss | Behavior Technician | 3301 Ridgecrest Drive, Midland, MI 48642 | 2018-11-27 |
| 1396264768 | Emily Lipa | Behavior Technician | 3301 Ridgecrest Dr., Midland, MI 48642 | 2017-09-16 |
| 1366982381 | Alison Bressette | Behavior Technician | 337 Lemke St, Midland, MI 48642 | 2017-02-24 |
| 1376926162 | Aba Connections of Central Michigan, LLC | Behavioral Analyst | 3301 Ridecrest Dr, Midland, MI 48642 | 2015-06-30 |
| 1952724130 | Rachelle Mott | Registered Nurse | 218 Fast Ice Dr., Midland, MI 48642 | 2014-01-24 |
| 1407123482 | Community Mental Health for Central Michigan | Community/Behavioral Health | 218 Fast Ice Drive, Midland, MI 48642 | 2011-11-19 |
| 1225283534 | Audio-aid Rx | Hearing Aid Equipment | 6855 N. Eastman Ave., Midland, MI 48642 | 2008-12-01 |
| Find all providers in zip 48642 | ||||
| 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 |
|---|---|---|---|---|
| 1790236198 | Foursquare Texas 16, LLC | Skilled Nursing Facility | 801 South Loop 250 West, Midland, TX 79703 | 2016-10-20 |
| 1558737965 | Visions Senior Care Corporation | Skilled Nursing Facility | 3121 Roosevelt Ave, Midland, TX 79701-6739 | 2015-08-19 |
| 1639353881 | Serenity Meadows Care Center Corporation | Skilled Nursing Facility | 2300 Camp Dr, Apt 1103, Midland, TX 79701-2005 | 2007-12-24 |
| 1790979623 | Legend Healthcare Midland, LLC | Skilled Nursing Facility | 3000 Mockingbird, Midland, TX 79705-1608 | 2007-09-04 |
| 1003913773 | Trinity Haven Healthcare Center, Inc. | Skilled Nursing Facility | 3203 Sage St, Midland, TX 79705-5711 | 2006-09-17 |
| 1679518377 | Tendercare (michigan) Inc. | Skilled Nursing Facility | 4900 Hedgewood Dr, Midland, MI 48640-1928 | 2006-06-17 |
| 1124014998 | Terrace West Nursing and Rehabilitation Lp | Skilled Nursing Facility | 2800 N Midland Dr, Midland, TX 79707-5536 | 2005-09-27 |
| 1710984117 | Midland Nursing Center LLC | Skilled Nursing Facility | 3615 E Ashman Rd, Midland, MI 48642-8858 | 2005-06-30 |
| 1588122238 | Anson Hospital District | Skilled Nursing Facility | 3000 Mockingbird, Midland, TX 79705-1608 | 2019-03-12 |
| 1790201911 | Fpacp Hogan Park LLC | Skilled Nursing Facility | 3203 Sage St, Midland, TX 79705-5711 | 2017-08-18 |
| Find all providers in MIDLAND | ||||
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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.