COLONIAL PARK ADULT ASSISTED LIVING (NPI# 1639701600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639701600 |
| Entity Type | Organization |
| Organization Name | COLONIAL PARK ADULT ASSISTED LIVING |
| Practice Address |
1050 W Colonial Park Dr Grand Ledge MI 48837-2215 |
| Mailing Address |
13282 S Hinman Rd Eagle MI 48822-9637 |
| Practice Telephone | 5175261195 |
| Practice Fax Number | 5176262525 |
| Mailing Telephone | 5175261195 |
| Mailing Fax Number | 5176262525 |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2020-02-07 |
| Authorized Official Name | MRS. LORRAINE ADELE MORALES (OWNER) |
| Authorized Official Telephone | 5175261195 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | Agencies |
| Street Address |
1050 W COLONIAL PARK DR |
| City | GRAND LEDGE |
| State | MI |
| Zip Code | 48837-2215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770061715 | Taylor Rene Van Horn | Chiropractor | 229 N. Bridge St., Grand Ledge, MI 48837 | 2018-08-01 |
| 1417334947 | Julie Ann Haan | Occupational Therapist | 6672 Ambassador Ave #111, Grand Ledge, MI 48837 | 2015-05-05 |
| 1386063022 | Rochelle Ashley Hughes | Obstetrics & Gynecology | 1035 Charlevoix Dr Ste 200, Grand Ledge, MI 48837 | 2014-04-09 |
| 1912255613 | Gordon William Jacobs | Home Health Aide | 202 1/2 Bridge St, Apt 6, Grand Ledge, MI 48837 | 2012-08-28 |
| 1497901524 | Edward D. Ball D.o., P.C. | Family Medicine | 313 S. Clinton, Grand Ledge, MI 48837 | 2008-08-08 |
| 1467667790 | Orthodontic Specialists of Mid-michigan, PC | Dentist | 1040 Charlevoix Drive, Ste, C, Grand Ledge, MI 48837 | 2007-05-11 |
| 1285773226 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 730 E. Saginaw Hwy, Grand Ledge, MI 48837 | 2007-02-06 |
| 1295893733 | James Anthony Voltattorni | Dentist | 312 Taylor, Grand Ledge, MI 48837 | 2006-12-05 |
| 1336224880 | Kaci Oda Chamberlin | Pharmacist | 508 S Clinton St, Grand Ledge, MI 48837 | 2006-10-25 |
| 1164525747 | Ethan H Childs | Chiropractor | 229 N Bridge St, Grand Ledge, MI 48837 | 2006-09-07 |
| Find all providers in zip 48837 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474576 | Maryann Michelle Lavender | Foster Care Agency | 5633 Embassy St, Kalamazoo, MI 49009-6499 | 2020-10-13 |
| 1417560269 | Fountain of Love | Foster Care Agency | 2140 Dickerson St, Detroit, MI 48215-2640 | 2020-08-30 |
| 1376165076 | Haven Adult Foster Care Ltd | Foster Care Agency | 73600 Church St, Armada, MI 48005-4749 | 2020-05-15 |
| 1104448018 | Jody Elizabeth Josephson | Foster Care Agency | 7415 Dexter Pinckney Rd, Dexter, MI 48130-7505 | 2020-05-13 |
| 1972135200 | Absolute Care LLC | Foster Care Agency | 5847 Naneva Ct, West Bloomfield, MI 48322-2517 | 2020-02-05 |
| 1699315556 | Reliance Manor LLC | Foster Care Agency | 35156 Ecorse Rd, Romulus, MI 48174-1640 | 2020-01-08 |
| 1215573217 | Byerly Enterprises, LLC | Foster Care Agency | 8616 Hidden Acre Ct, Clarkston, MI 48348-2895 | 2019-11-25 |
| 1235789553 | Dorthie Bolden | Foster Care Agency | 7027 Baseline Rd, South Haven, MI 49090-8338 | 2019-09-18 |
| 1457909509 | Sallie Mae Emert | Foster Care Agency | 2850 W Leinaar Rd, Delton, MI 49046-9567 | 2019-09-02 |
| 1366096638 | Balmoral Living LLC. | Foster Care Agency | 32741 Balmoral Knls, Farmington Hills, MI 48334-1608 | 2019-07-25 |
| Find all providers with the same taxonomy | ||||
| City | GRAND LEDGE |
| Zip Code | 48837 |
Please comment or provide details below to improve the information on COLONIAL PARK ADULT ASSISTED LIVING.
| 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.