CAMPBELLS PERSONAL CARE HOME #4, INC. (NPI# 1588994065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588994065 |
| Entity Type | Organization |
| Organization Name | CAMPBELLS PERSONAL CARE HOME #4, INC. |
| Practice Address |
1900 Lakeville Rd Leonard MI 48367-3306 |
| Mailing Address |
Po Box 821 Lapeer MI 48446-0821 |
| Practice Telephone | 2486286348 |
| Mailing Telephone | 8102459400 |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2010-01-06 |
| Authorized Official Name | DEBORAH S. VAUBEL (OPERATIONS MANAGHER) |
| Authorized Official Telephone | 8102459400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL630015496 | MI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | STATE OF MICHIGAN DEPARTMENT OF HUMAN SERVICES | AL630015496 | 01 |
| Street Address |
1900 LAKEVILLE RD |
| City | LEONARD |
| State | MI |
| Zip Code | 48367-3306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366487407 | Addison Township | Ambulance | 4026 Forest St, Leonard, MI 48367-1909 | 2006-06-20 |
| 1669901641 | Susan Beckwith | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2230 Rochester Rd, Leonard, MI 48367-3002 | 2017-06-05 |
| 1003121120 | Kelli Nicole Fogarty | Registered Nurse | 2087 Hidden Ln, Leonard, MI 48367-3225 | 2010-08-12 |
| 1649510397 | Pamela Mary Phillips | Counselor | 2155 Hidden Ln, Leonard, MI 48367-3226 | 2013-02-17 |
| 1740357847 | Michael J Yates | Emergency Medicine | 888 Walker Rd, Leonard, MI 48367-3738 | 2006-11-30 |
| 1609264340 | Joel J Smiler | Veterinarian | 720 Burnshill Dr, Leonard, MI 48367-4204 | 2015-01-05 |
| 1164663241 | Colleen M Klosterman | Occupational Therapist | 479 Lena Hill Dr, Leonard, MI 48367-4220 | 2009-03-18 |
| 1679551162 | Robert J Kanas | Dentist | 368 Cantley St, Leonard, MI 48367-6602 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902416746 | Lawrence Corcoran | Pharmacist | 122 W Collin St, Leonard, TX 75452 | 2020-08-06 |
| 1083195606 | Nicholas Eli Culp | Physical Therapy Assistant | 902 E Hackberry St Apt 1034, Leonard, TX 75452-6318 | 2018-08-22 |
| 1578064143 | Brandi Renee Martin | Registered Nurse | 101 Stanley St, Leonard, TX 75452-2016 | 2018-02-28 |
| 1699275446 | Rita Beegle | Licensed Vocational Nurse | 400 E Mulberry St, Leonard, TX 75452-2339 | 2018-02-19 |
| 1669901641 | Susan Beckwith | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2230 Rochester Rd, Leonard, MI 48367-3002 | 2017-06-05 |
| 1609264340 | Joel J Smiler | Veterinarian | 720 Burnshill Dr, Leonard, MI 48367-4204 | 2015-01-05 |
| 1740683556 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 420 S Us Highway 69, Leonard, TX 75452-2727 | 2014-10-07 |
| 1538591250 | Julie F Fox | Social Worker | 206 E Thomas St, Leonard, TX 75452-2512 | 2013-08-05 |
| 1649510397 | Pamela Mary Phillips | Counselor | 2155 Hidden Ln, Leonard, MI 48367-3226 | 2013-02-17 |
| 1346529377 | Ashley Nicole Inge | Physical Therapist | 3590 Fm 981, Leonard, TX 75452-3909 | 2011-08-09 |
| Find all providers in LEONARD | ||||
| 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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| 1215544739 | Baruch Sls, Inc. | Assisted Living Facility | 3100 Wyndham Dr, Flushing, MI 48433-2290 | 2020-09-29 |
| 1730796558 | Baruch Sls, Inc. | Assisted Living Facility | 130 Mary Ann St, Grayling, MI 49738-7037 | 2020-09-25 |
| 1649887472 | Baruch Sls, Inc. | Assisted Living Facility | 300 S Grand Ave, Leland, MI 49654-5052 | 2020-09-25 |
| 1013524834 | Baruch Sls, Inc. | Assisted Living Facility | 2801 Charlevoix Rd, Petoskey, MI 49770-9727 | 2020-09-25 |
| 1346857174 | Baruch Sls, Inc. | Assisted Living Facility | 1311 Southwestern Dr, Tecumseh, MI 49286-1233 | 2020-09-25 |
| 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 |
| 1306451679 | Traditions At Rivertown Park, LLC | Assisted Living Facility | 3555 Copper River Ave Sw, Wyoming, MI 49418-9791 | 2020-09-13 |
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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.