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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | AL110341658 | MI | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Woodland Terrace of Paw Paw Lake | Doing Business As Name - Organization |
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 |
Street Address |
6786 RED ARROW HWY |
City | COLOMA |
State | MI |
Zip Code | 49038-9703 |
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 |
Find all providers in zip 49038 |
Taxonomy Code | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
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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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.