INGHAM COUNTY MEDICAL CARE FACILITY (NPI# 1831195114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831195114 |
| Entity Type | Organization |
| Organization Name | INGHAM COUNTY MEDICAL CARE FACILITY |
| Practice Address |
3860 Dobie Rd Okemos MI 48864-3704 |
| Practice Telephone | 5173816100 |
| Practice Fax Number | 5173816201 |
| Mailing Telephone | 5173816100 |
| Mailing Fax Number | 5173816201 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2020-10-28 |
| Authorized Official Name | MARK H STEVENS (ADMINISTRATOR) |
| Authorized Official Telephone | 5173816199 |
| Authorized Official Credential | NHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 338510 | MI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 61-2085007 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124448154 | Ingham County Medical Care Facility | Clinic/Center | 3860 Dobie Rd, Okemos, MI 48864-3704 | 2014-04-17 |
| Street Address |
3860 DOBIE RD |
| City | OKEMOS |
| State | MI |
| Zip Code | 48864-3704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831673813 | Nicole Aimee Kachinosky | Speech-Language Pathologist | 3860 Dobie Rd, Okemos, MI 48864-3704 | 2018-09-17 |
| 1871094128 | Kristin Nelson | Physical Therapist | 3860 Dobie Rd, Okemos, MI 48864-3704 | 2018-02-22 |
| 1093216301 | Amanda Ward | Occupational Therapist | 3860 Dobie Rd, Okemos, MI 48864-3704 | 2018-02-22 |
| 1750882981 | Jonathan Wismer | Physical Therapist | 3860 Dobie Rd, Okemos, MI 48864-3704 | 2018-02-22 |
| 1174024525 | Joel Permoda Mann | Occupational Therapist | 3860 Dobie Rd, Okemos, MI 48864-3704 | 2018-02-21 |
| 1124448154 | Ingham County Medical Care Facility | Clinic/Center | 3860 Dobie Rd, Okemos, MI 48864-3704 | 2014-04-17 |
| 1750575031 | Michigan State University | Skilled Nursing Facility | 3860 Dobie Rd, Okemos, MI 48864-3704 | 2007-08-30 |
| 1679689574 | Linda J Keilman | Nurse Practitioner | 3860 Dobie Rd, Okemos, MI 48864-3704 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972066348 | Jan J Stokosa | Prosthetic/Orthotic Supplier | 2145 University Park Drive, Suite 100, Okemos, MI 48864 | 2019-04-11 |
| 1194284067 | Bryan R Salminen | Counselor | 2127 University Drive Suite 300, Okemos, MI 48864 | 2019-03-19 |
| 1639678600 | Paula Veronica Yevilaf Neira | Behavior Technician | 3887 Okemos Rd Suite A1, Okemos, MI 48864 | 2018-02-06 |
| 1306364690 | Sally Ann Purdy | Social Worker | 3493 Woods Edge Dr., Suite #103, Okemos, MI 48864 | 2017-09-06 |
| 1952824609 | Victoria Marie Hopper | Behavior Technician | 3887 Okemos Rd., Suite #a1, Okemos, MI 48864 | 2017-07-24 |
| 1134653306 | Kayleigh Delaney | Dietitian, Registered | 5050 Marsh Road, Suite 5, Okemos, MI 48864 | 2017-04-14 |
| 1922544402 | Elsabeth Engeda | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4464 Hickory Drive, Okemos, MI 48864 | 2017-01-09 |
| 1104373752 | Joslyn Fraidenburg | Registered Nurse | 2322 Knod Hill Dr, Apt 14, Okemos, MI 48864 | 2016-09-01 |
| 1851748966 | Doug Derdowski | Social Worker | 4123 Okemos Road, Eastbrook Plaza, Okemos, MI 48864 | 2016-05-18 |
| 1437505971 | Jessica Lynn Reslock | Occupational Therapist | 2378 Woodlake Dr. Suite 280, Children's Therapy Corner, Okemos, MI 48864 | 2016-05-13 |
| Find all providers in zip 48864 | ||||
| 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 |
|---|---|---|---|---|
| 1588087761 | Trilogy Healthcare of Ingham, LLC | Skilled Nursing Facility | 4830 Central Park Drive, Okemos, MI 48864 | 2014-01-24 |
| 1356582647 | Tendercare (michigan) Inc. | Skilled Nursing Facility | 5211 Marsh Road, Okemos, MI 48864-1106 | 2009-03-16 |
| 1962809038 | Okemos Opco, LLC | Skilled Nursing Facility | 5211 Marsh Rd, Okemos, MI 48864-1106 | 2014-12-04 |
| 1750575031 | Michigan State University | Skilled Nursing Facility | 3860 Dobie Rd, Okemos, MI 48864-3704 | 2007-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538798731 | Windemere Park of Troy Operations LLC | Skilled Nursing Facility | 5990 N Adams Rd, Troy, MI 48098-2377 | 2020-04-08 |
| 1982235396 | Berg-lahser Snf, LLC | Skilled Nursing Facility | 21630 Hessel Ave # 1230, Detroit, MI 48219-1230 | 2020-02-04 |
| 1508497918 | Harmony Village Snf, LLC | Skilled Nursing Facility | 16588 Schaefer Hwy # 4249, Detroit, MI 48235-4249 | 2020-02-04 |
| 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.