STONERIDGE ADULT FOSTER CARE (NPI# 1942691191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942691191 |
| Entity Type | Organization |
| Organization Name | STONERIDGE ADULT FOSTER CARE |
| Practice Address |
4825 Fruin Rd Bellevue MI 49021-8209 |
| Practice Telephone | 2697583388 |
| Practice Fax Number | 2697583488 |
| Mailing Telephone | 2697583388 |
| Mailing Fax Number | 2697583488 |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |
| Authorized Official Name | MRS. MICHELLE LYNN MOORE (MANAGER) |
| Authorized Official Telephone | 2697583388 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
AL080338716 | MI | Nursing & Custodial Care Facilities |
| Street Address |
4825 FRUIN RD |
| City | BELLEVUE |
| State | MI |
| Zip Code | 49021-8209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720630734 | Stone Ridge Afc | Assisted Living Facility | 4825 Fruin Rd, Bellevue, MI 49021-8209 | 2019-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225250848 | David L Lindow Dds PC | Clinic/Center | 606 N Main Street, Bellevue, MI 49021 | 2007-05-03 |
| 1942771258 | Mobility 1 Transport LLC | Transportation Broker | 123 N Main St # 3, Bellevue, MI 49021-1231 | 2018-12-12 |
| 1346525540 | Jennifer A Millen | Pharmacist | 117 N Main St, Bellevue, MI 49021-1231 | 2011-10-19 |
| 1922167873 | Hometown Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 117 N Main St, Bellevue, MI 49021-1231 | 2006-12-07 |
| 1609925791 | Teresa Ann Koch-ely | Dentist | 120 N Main St, Bellevue, MI 49021-1232 | 2007-01-09 |
| 1679795058 | Bellevue Medical Services | Family Medicine | 205 N Main St, Bellevue, MI 49021-1233 | 2007-05-03 |
| 1043287451 | Waldo E Frankenstein | Family Medicine | 205 N Main St, Bellevue, MI 49021-1233 | 2006-03-03 |
| 1003474768 | Magan Rivera | Physical Therapy Assistant | 212 W Caroline St, Bellevue, MI 49021-1336 | 2019-05-29 |
| 1093257461 | Benjamin Russell Wilson | Counselor | 6461 Dawn Dr, Bellevue, MI 49021-8411 | 2016-11-16 |
| 1841751195 | Irene Gruell | Registered Nurse | 9525 Burton Hwy, Bellevue, MI 49021-9721 | 2019-03-28 |
| Find all providers in zip 49021 | ||||
| Taxonomy Code | 3104A0630X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Behavioral Disturbances |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770131344 | Garth Hutton | Assisted Living Facility | 1404 Territorial Rd W, Battle Creek, MI 49015-2751 | 2019-08-27 |
| 1669968129 | Lake Shore Afc, LLC | Assisted Living Facility | 2480 Tonawanda Lake Rd, Grawn, MI 49637-9615 | 2018-07-09 |
| 1053837922 | Raekesha Lachelle Mcmillian | Assisted Living Facility | 820 Watkins St Se, Grand Rapids, MI 49507-1345 | 2017-08-22 |
| 1942605746 | D & J Home Care 3, LLC | Assisted Living Facility | 33255 26 Mile Rd, Lenox, MI 48048-2904 | 2014-10-23 |
| 1043614852 | D & J Home Care, Inc. | Assisted Living Facility | 5485 Smiths Creek Rd, Kimball, MI 48074-3811 | 2014-10-22 |
| 1689004921 | Niche Aging Center | Assisted Living Facility | 3405 E Midland Rd, Bay City, MI 48706-2825 | 2013-11-23 |
| 1992135313 | Bavarian Comfort Care | Assisted Living Facility | 5366 W Rolling Hills Dr, Bridgeport, MI 48722-9671 | 2013-11-21 |
| 1184803678 | Dianes Sweet Home,inc | Assisted Living Facility | 7750 Carpenter Rd, Ypsilanti, MI 48197-8847 | 2007-10-31 |
| 1760677751 | Mastrofrancesco Afc Inc | Assisted Living Facility | 18787 Ray St, Riverview, MI 48193-7428 | 2007-09-12 |
| 1295800779 | Samaritan Homes Inc | Assisted Living Facility | 25160 Lahser Rd Ste 221, Southfield, MI 48034-6302 | 2006-11-21 |
| 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.