STONE CREEK MANOR (NPI# 1699836346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699836346 |
| Entity Type | Organization |
| Organization Name | STONE CREEK MANOR |
| Practice Address |
609 Stone Creek Pass Clio MI 48420 |
| Practice Telephone | 8106872855 |
| Practice Fax Number | 8106872855 |
| Mailing Telephone | 8106872855 |
| Mailing Fax Number | 8106872855 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2008-08-01 |
| Authorized Official Name | MS. SHAWN MARIE THOMPSON (OWNER) |
| Authorized Official Telephone | 8106872855 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
AF250248959 | MI | Nursing Service Related Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | STONE CREEK MANOR LLC | 201 West 79th Street, New York, Ny 10024 |
| Street Address |
609 STONE CREEK PASS |
| City | CLIO |
| State | MI |
| Zip Code | 48420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629544382 | Erika Joyclyn Marie Ahmad | Behavioral Analyst | Nation of Wonders Inclusive Education, 19211 Beech Daly, Redford, MI 48420 | 2018-10-22 |
| 1770990335 | Matthew Kanelos | Physician Assistant | 11307 N Linden Rd, B, Clio, MI 48420 | 2014-07-16 |
| 1184968679 | Amd Urgent Medical Care, Pllc | Clinic/Center | 11307 N. Linden Rd Suite B, Clio, MI 48420 | 2012-11-21 |
| 1790032928 | Stephanie Rasmussen | Speech-Language Pathologist | 509 Hidden Creek Trail, Clio, MI 48420 | 2012-08-07 |
| 1386976801 | Kathryn Sue Klamert | Occupational Therapist | 12194 Neff Road, Clio, MI 48420 | 2010-02-09 |
| 1518061985 | Visiting Nurse Services of Michigan | Durable Medical Equipment & Medical Supplies | 11493 N. Linden Rd, Clio, MI 48420 | 2006-09-07 |
| 1619084712 | Lorraine Byers-miller | Optometrist | 11493 North Linden Rd, Clio, MI 48420 | 2006-08-24 |
| 1093766370 | Donald Christ Lutz | Podiatrist | 4091 W Vienna Rd, Clio, MI 48420 | 2006-05-12 |
| 1619306875 | Borden S Family Pharmacy LLC | Pharmacy | 415 W Vienna St, Clio, MI 48420 | 2013-11-07 |
| 1740431360 | Lorraine Byers-miller O.d., P.C. | Optometrist | 11493 North Linden Rd, Clio, MI 48420 | 2008-10-01 |
| Find all providers in zip 48420 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457902306 | Bethany Corder | Technician | 3333 George Ann Ct, Clio, MI 48420-1911 | 2019-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786478 | Terrence Newton | Technician | 1435 Peachwood Dr, Flint, MI 48507-5633 | 2020-09-25 |
| 1487271649 | Ashley Meade-caplinger | Technician | 2328 7th St, Wyandotte, MI 48192-4316 | 2020-07-02 |
| 1598395295 | Dale Andrea Smith | Technician | 216 Railway St, Crystal Fall, MI 49920 | 2020-01-22 |
| 1760028559 | Arlene Lewis | Technician | 1350 E M 21 Ste 34, Owosso, MI 48867-8000 | 2019-11-27 |
| 1144864471 | Jessica Gomez | Technician | 1621 Benjamin St, Saginaw, MI 48602-5311 | 2019-10-30 |
| 1942843800 | Lynnette Marie Geib | Technician | N1872 Hwy M-35, Menominee, MI 49858 | 2019-10-23 |
| 1093358004 | Monika Hildegard Winters | Technician | 4150 Lake Pleasant Rd S, Osseo, MI 49266-9623 | 2019-10-22 |
| 1184267528 | Willie M Rhymes Jr. | Technician | 16020 W Chicago St, Detroit, MI 48228-2144 | 2019-10-17 |
| 1871134189 | Patricia Littleton | Technician | 4610 Akron Rd, Akron, MI 48701 | 2019-10-08 |
| 1457902140 | Linda Pabis | Technician | 5406 Canada Rd, Birch Run, MI 48415 | 2019-09-24 |
| Find all providers with the same taxonomy | ||||
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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.