REFLECTIONS OF THURSTON WOODS (NPI# 1922558329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922558329 |
Entity Type | Organization |
Organization Name | REFLECTIONS OF THURSTON WOODS |
Other Organization Name | ADULT FOSTER CARE |
Practice Address |
1946 S. Thurston Woods Drive Sturgis MI 49091 |
Mailing Address |
307 N. Franks Ave. Sturgis MI 49091 |
Practice Telephone | 2693196505 |
Mailing Telephone | 2696517841 |
Enumeration Date | 2016-10-10 |
Last Update Date | 2016-10-10 |
Authorized Official Name | MRS. THEO OMO (CEO) |
Authorized Official Telephone | 2696517841 |
Is Organization Subpart | Y |
Parent Organization Name | THURSTON WOODS VILLAGE, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
AM750378700 | MI | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Adult Foster Care | Other Name - Individual/Organization |
Street Address |
1946 S. THURSTON WOODS DRIVE |
City | STURGIS |
State | MI |
Zip Code | 49091 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124258793 | Joan M Fox | Physical Therapist | 1717 E Chicago Road, Sturgis Hospital, Sturgis, MI 49091 | 2009-07-17 |
1538336110 | Dr R L Chorpenning | Chiropractor | 104 W Congress, Sturgis, MI 49091 | 2008-05-13 |
1710176151 | Guardiantrac LLC | In Home Supportive Care | 215 Broadus St, Sturgis, MI 49091 | 2007-10-22 |
1134320302 | Kelly Marie Amrein | Pharmacist | 1533 E Chicago Rd., Sturgis, MI 49091 | 2007-05-29 |
1417079633 | Mark Donald Henson Bohlen | Social Worker | 401 S Fourth Street, Sturgis, MI 49091 | 2007-04-06 |
1609995349 | Michael A Fine | Physical Therapist | 70420 S. Centerville Road, Suite C, Sturgis, MI 49091 | 2007-03-27 |
1437203973 | Robert J Mahoney | Counselor | 70050 M 66, Sturgis, MI 49091 | 2007-01-22 |
1740341411 | Sturgis Surgicare | Clinic/Center | 102 S Lakeview Avenue, Sturgis, MI 49091 | 2006-12-13 |
1225196355 | James Hunter Raiford | Counselor | 103 S 4th Ave, Sturgis, MI 49091 | 2006-12-04 |
1184727570 | Nicole R F Merchant | Counselor | 103 S Fourth St, Sturgis, MI 49091 | 2006-09-07 |
Find all providers in zip 49091 |
Taxonomy Code | 311ZA0620X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Custodial Care Facility |
Specialization | Adult Care Home |
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
Notes: [7/1/2003: new] |
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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.