MEDILODGE OF STERLING LLC (NPI# 1609837608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609837608 |
| Entity Type | Organization |
| Organization Name | MEDILODGE OF STERLING LLC |
| Practice Address |
500 S School Rd Sterling MI 48659-9799 |
| Mailing Address |
64500 Van Dyke Rd Washington MI 48095-2583 |
| Practice Telephone | 9896542496 |
| Mailing Telephone | 5867525008 |
| Mailing Fax Number | 5867527609 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2008-05-01 |
| Authorized Official Name | KATHLEEN DENEAN (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5867525008 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 064010 | MI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS OF MICHIGAN | S9501 | 01 |
| MI | 4151193 | 05 |
| Street Address |
500 S SCHOOL RD |
| City | STERLING |
| State | MI |
| Zip Code | 48659-9799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194201350 | Lisa Marie Szafranski | Occupational Therapist | 500 S School Rd, Sterling, MI 48659-9799 | 2018-07-11 |
| 1649775636 | Amy Londry | Occupational Therapist | 500 S School Rd, Sterling, MI 48659-9799 | 2018-03-29 |
| 1275974107 | Sterling Opco LLC | Skilled Nursing Facility | 500 S School Rd, Sterling, MI 48659-9799 | 2013-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285627182 | Linda Caren Runyon | Internal Medicine | 725 E State St, Sterling Area Health Center, Sterling, MI 48659-9548 | 2005-08-25 |
| 1104426162 | Sherry J Velasco | Nurse Practitioner | 725 E State St, Sterling, MI 48659-9548 | 2020-10-29 |
| 1124628912 | Caleb James Conner | Nurse Practitioner | 725 E State St, Sterling, MI 48659-9548 | 2020-10-29 |
| 1083251664 | Ashley Meirow Conyer | Nurse Practitioner | 725 E State St, Sterling, MI 48659-9548 | 2019-12-03 |
| 1164066452 | Elizabeth Mary Kitchen | Nurse Practitioner | 725 E State St, Sterling, MI 48659-9548 | 2019-10-30 |
| 1194280081 | Lynn Alene Meyers | Nurse Practitioner | 725 E State St, Sterling, MI 48659-9548 | 2019-02-05 |
| 1033691159 | Vivian Gallofin | Registered Nurse | 725 E State St, Sterling, MI 48659-9548 | 2018-09-05 |
| 1821407321 | Danyelle Wagner | Social Worker | 725 E State St, Sterling, MI 48659-9548 | 2014-08-08 |
| 1689913485 | Summer Elise Tambs | Social Worker | 725 E State St, Sterling, MI 48659-9548 | 2013-02-14 |
| 1558663955 | Hope Murphy | Pharmacist | 725 E State St, Sterling, MI 48659-9548 | 2010-11-17 |
| Find all providers in zip 48659 | ||||
| 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 |
|---|---|---|---|---|
| 1275945024 | Cambridge Healthcare | Skilled Nursing Facility | 22960 Shaw Rd Ste 605, Sterling, VA 20166-9447 | 2014-05-28 |
| 1710291679 | Ccsp Nova LLC | Skilled Nursing Facility | 46531 Harry Byrd Hwy, Sterling, VA 20164-3555 | 2010-08-03 |
| 1518127539 | Infinity Rehab | Skilled Nursing Facility | 208 E 9th St Apt A, Sterling, IL 61081-2444 | 2008-06-12 |
| 1972607299 | Presbyterian Manors, Inc. | Skilled Nursing Facility | 204 W Washington Ave, Sterling, KS 67579-1614 | 2006-09-08 |
| 1275550105 | Sterling Snf Management, LLC | Skilled Nursing Facility | 612 West St Marys Street, Sterling, IL 61081-9040 | 2006-07-16 |
| 1851378046 | Sterling Pavilion, Ltd. | Skilled Nursing Facility | 105 E 23rd St, Sterling, IL 61081-1212 | 2005-12-28 |
| 1831173400 | Clinton Manor Nursing Home | Skilled Nursing Facility | 18 Dana Hill Rd, Sterling, MA 01564-2414 | 2005-12-06 |
| 1023003167 | Chancellor Health Care of Colorado, LLC | Skilled Nursing Facility | 1330 Sidney Ave, Sterling, CO 80751-2241 | 2005-09-14 |
| 1477559342 | Air Force Retired Officers Community-washington D.c. | Skilled Nursing Facility | 20535 Earhart Pl, Sterling, VA 20165-3581 | 2005-06-24 |
| 1861044430 | Agewise Living, Inc | Skilled Nursing Facility | 204 W Washington Ave, Sterling, KS 67579-1614 | 2019-07-12 |
| Find all providers in STERLING | ||||
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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.