DOCKERTY HEALTH CARE SERVICES INC.


Address: 6786 Red Arrow Hwy, Coloma, MI 49038-9703
Phone: 2694685800

DOCKERTY HEALTH CARE SERVICES INC. (NPI# 1518342062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518342062
Entity Type Organization
Organization Name DOCKERTY HEALTH CARE SERVICES INC.
Other Organization Name WOODLAND TERRACE OF PAW PAW LAKE
Practice Address 6786 Red Arrow Hwy
Coloma
MI 49038-9703
Mailing Address 8850 Red Arrow Hwy
Bridgman
MI 49106-9524
Practice Telephone 2694685800
Mailing Telephone 2694657600
Enumeration Date 2015-07-27
Last Update Date 2015-07-27
Authorized Official Name TODD DOCKERTY (OWNER/COO)
Authorized Official Telephone 2694585800
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility AL110341658 MI Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Woodland Terrace of Paw Paw Lake Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1710362264 Dockerty Health Care Services Inc. Assisted Living Facility 13 Longmeadow Village Dr, Niles, MI 49120-7831 2015-07-27

Office Location

Street Address 6786 RED ARROW HWY
City COLOMA
State MI
Zip Code 49038-9703

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528494135 Gerald Carl Thiele Hearing Instrument Specialist 6693 Red Arrow Hwy, Coloma, MI 49038 2013-09-16
1518283100 Jeffrey Thomas Perrapato Thoracic Surgery (Cardiothoracic Vascular Surgery) 6270 Lakewood Pointe Drive, Coloma, MI 49038 2010-04-08
1316123102 Moss Chiropractic Clinic P.C. Chiropractor 429 N. Paw Paw Street, Coloma, MI 49038 2008-01-11
1386848745 Daniel A Iliff Chiropractor 6560 Red Arrow Highway, Coloma, MI 49038 2007-06-12
1598711939 Darlene Suzanne Bruner-getz Dentist 213 N Paw Paw St, Coloma, MI 49038 2006-05-26
1194295782 Jeremy B Shelley Physical Therapist 7040 Red Arrow Hwy, Coloma, MI 49038 2018-11-27
1265898878 Brandi Smith Nurse Practitioner 6701 Paw Paw Ave, Coloma, MI 49038 2016-01-12
1144866906 Healing Counseling Services LLC Social Worker 6572 Red Arrow Hwy Ste 2, Coloma, MI 49038-8700 2019-11-26
1457540908 Red Arrow Family Practice General Practice 6500 Red Arrow Hwy, Coloma, MI 49038-8700 2007-10-22
1962562397 Susan L Startup Social Worker 6560 Red Arrow Hwy, Coloma, MI 49038-8700 2006-12-08
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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Notes: [7/1/2003: new]

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1730796558 Baruch Sls, Inc. Assisted Living Facility 130 Mary Ann St, Grayling, MI 49738-7037 2020-09-25
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1427665439 Baruch Sls, Inc. Assisted Living Facility 301 N Quick St, Blissfield, MI 49228-1051 2020-09-24
1295341956 Comfort Home of Bloomfield Inc Assisted Living Facility 6372 Tutbury Ln, Troy, MI 48098-2151 2020-09-18
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Competitor

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City COLOMA
Zip Code 49038

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Dataset Information

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.

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