GLACIER HILLS INC. (NPI# 1811936768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811936768 |
| Entity Type | Organization |
| Organization Name | GLACIER HILLS INC. |
| Practice Address |
1200 Earhart Rd Ann Arbor MI 48105-2768 |
| Practice Telephone | 7347696410 |
| Practice Fax Number | 7347695958 |
| Mailing Telephone | 7347696410 |
| Mailing Fax Number | 7347695958 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. MARGARET D. MARGETICH (MANAGER) |
| Authorized Official Telephone | 7349296732 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 814110 | MI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS PROVIDER NUMBE | 09522 | 01 |
| MI | 2080717 | 05 |
| Street Address |
1200 EARHART RD |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48105-2768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326674730 | Rebecca Anne Syed | Occupational Therapist | 1200 Earhart Rd, Ann Arbor, MI 48105-2768 | 2020-03-17 |
| 1740811629 | Carolyn Anne Sasatani | Dietitian, Registered | 1200 Earhart Rd, Ann Arbor, MI 48105-2768 | 2020-01-30 |
| 1275183048 | Kelli Mcgee | Physical Therapist | 1200 Earhart Rd, Ann Arbor, MI 48105-2768 | 2019-09-13 |
| 1326516980 | Caroline Marie Shanks | Occupational Therapist | 1200 Earhart Rd, Ann Arbor, MI 48105-2768 | 2018-11-12 |
| 1285115030 | Diane Lozada | Occupational Therapist | 1200 Earhart Rd, Ann Arbor, MI 48105-2768 | 2018-08-28 |
| 1003397431 | Linda Kathleen Arnold | Occupational Therapist | 1200 Earhart Rd, Ann Arbor, MI 48105 | 2018-08-23 |
| 1255811501 | Carol Homco | Occupational Therapist | 1200 Earhart Rd, Ann Arbor, MI 48105-2768 | 2018-08-16 |
| 1801376173 | Rachel Eileen Jowett | Occupational Therapist | 1200 Earhart Rd, Ann Arbor, MI 48105-2768 | 2018-08-16 |
| 1083192512 | Kristie J Brogan | Occupational Therapist | 1200 Earhart Rd, Ann Arbor, MI 48105-2768 | 2018-08-06 |
| 1003394008 | Lorraine Berta | Occupational Therapist | 1200 Earhart Rd, Ann Arbor, MI 48105-2768 | 2018-08-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730728718 | Alexander Jendrusina | Psychologist | Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 | 2019-12-23 |
| 1417515875 | Christine Shyh Wang | Student in an Organized Health Care Education/Training Program | 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2019-05-31 |
| 1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
| 1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
| 1568955730 | Alexander Sliwicki | Pediatrics | 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 | 2018-06-12 |
| 1902398464 | Austin Remington | Student in an Organized Health Care Education/Training Program | 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2018-05-31 |
| 1881191658 | Stephen James Hickner | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 | 2018-04-09 |
| 1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
| 1861857971 | Connie Chen | Pharmacist | 2215 Fuller Road (119), Ann Arbor, MI 48105 | 2015-12-17 |
| 1407241193 | Stefan Craciun | Emergency Medicine | 3484 Ashburnam Rd, Ann Arbor, MI 48105 | 2015-03-31 |
| Find all providers in zip 48105 | ||||
| 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 |
|---|---|---|---|---|
| 1609819531 | Whitehall of Ann Arbor Healthcare, LLC | Skilled Nursing Facility | 3370 E Morgan Rd, Ann Arbor, MI 48108-9637 | 2006-06-14 |
| 1851339857 | Heartland of Ann Arbor Mi LLC | Skilled Nursing Facility | 4701 E Huron River Dr, Ann Arbor, MI 48105-9335 | 2006-06-02 |
| 1639176639 | Riverview Acquisition Company, LLC | Skilled Nursing Facility | 355 Huronview Blvd, Ann Arbor, MI 48103-2949 | 2005-07-05 |
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| 1336795244 | Ishpeming Nursing & Rehab Center, LLC | Skilled Nursing Facility | 435 Rd Pl, Ishpeming, MI 49849 | 2019-08-15 |
| 1669965299 | Wellbridge of Clarkston, LLC | Skilled Nursing Facility | 5655 Clarkston Road, Independence Township, MI 48348 | 2018-06-08 |
| 1104318112 | Wellbridge At Genesys Health Park, LLC | Skilled Nursing Facility | 3139 East Baldwin Road, Grand Blanc, MI 48439 | 2018-06-05 |
| 1427549955 | Mission Point of Detroit, LLC | Skilled Nursing Facility | 2102 Orleans, Detroit, MI 48207 | 2018-05-21 |
| 1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
| 1972092344 | Regency At Grand Haven, LLC | Skilled Nursing Facility | 17049 Comstock St, Grand Haven, MI 49417-7903 | 2018-05-01 |
| 1093214173 | Sana Nasir Inc. | Skilled Nursing Facility | 13840 King Rd, Riverview, MI 48193 | 2018-02-05 |
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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.