CRG LYNWOOD, LLC (NPI# 1023315421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023315421 |
| Entity Type | Organization |
| Organization Name | CRG LYNWOOD, LLC |
| Other Organization Name | LYNWOOD MANOR HEALTHCARE CENTER |
| Practice Address |
730 Kimole Ln Adrian MI 49221-1463 |
| Mailing Address |
4711 Golf Rd Suite 200 Skokie IL 60076-1224 |
| Practice Telephone | 5172636771 |
| Practice Fax Number | 5172658599 |
| Mailing Telephone | 8479339280 |
| Enumeration Date | 2011-02-21 |
| Last Update Date | 2014-12-17 |
| Authorized Official Name | ABRAHAM GUTNICKI (MEMBER) |
| Authorized Official Telephone | 8479339280 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Lynwood Manor Healthcare Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467836411 | Crg Lynwood, LLC | Durable Medical Equipment & Medical Supplies | 730 Kimole Ln, Adrian, MI 49221-1463 | 2015-07-18 |
| Street Address |
730 KIMOLE LN |
| City | ADRIAN |
| State | MI |
| Zip Code | 49221-1463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609974112 | Victoria Ann Vaccaro | Registered Nurse | 730 Kimole Ln, Adrian, MI 49221-1463 | 2006-09-20 |
| 1568946077 | Teresa Bednarz-vander Hoff | Occupational Therapist | 730 Kimole Ln, Adrian, MI 49221-1463 | 2018-09-20 |
| 1952802548 | Wesley Griffith | Physical Therapy Assistant | 730 Kimole Ln, Adrian, MI 49221-1463 | 2018-02-28 |
| 1174024863 | Seth Buckman | Occupational Therapy Assistant | 730 Kimole Ln, Adrian, MI 49221-1463 | 2018-02-27 |
| 1174032304 | Krista Ellis | Physical Therapist | 730 Kimole Ln, Adrian, MI 49221-1463 | 2017-09-20 |
| 1619400140 | Natalie Walton | Physical Therapist | 730 Kimole Ln, Adrian, MI 49221-1463 | 2017-04-11 |
| 1225488406 | Debra Lee Steyaert | Occupational Therapist | 730 Kimole Ln, Adrian, MI 49221-1463 | 2016-06-17 |
| 1306219076 | Angela Marie Manwaring | Physical Therapist | 730 Kimole Ln, Adrian, MI 49221-1463 | 2015-11-03 |
| 1144692278 | Emily Grace Hendrixq | Speech-Language Pathologist | 730 Kimole Ln, Adrian, MI 49221-1463 | 2015-10-28 |
| 1003287202 | Tiffany Keith | Occupational Therapist | 730 Kimole Ln, Adrian, MI 49221-1463 | 2015-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285116723 | Sandra Ann Harsh | Occupational Therapist | Total Rehab, 1136 Country Club, Adrian, MI 49221 | 2018-08-31 |
| 1588156178 | Chelsea Varney | Social Worker | 1040 Winter Street, Adrian, MI 49221 | 2018-05-31 |
| 1669974127 | Nicoletta Mary Bruno | Physical Therapy Assistant | 700 Lakeshire Trail, Adrian, MI 49221 | 2018-03-01 |
| 1871011403 | Evan Splan | Pharmacist | 1200 South Main St Suite A, Adrian, MI 49221 | 2017-09-04 |
| 1780104992 | Daniel Malcolm | Specialist/Technologist | 1325 Williams St., Adrian, MI 49221 | 2017-06-20 |
| 1639602881 | Robert Gargol | Pharmacist | 1535 W Maumee, Adrian, MI 49221 | 2017-04-05 |
| 1487196416 | Painless Dentistry V | Dentist | 160 N. Winter St., Adrian, MI 49221 | 2016-11-08 |
| 1487025227 | Michelle Lynn Ranta | Speech-Language Pathologist | 730 Kimole Ln., Adrian, MI 49221 | 2015-10-19 |
| 1376929109 | James Hamblin | Technician, Other | 1100 South Main St. Lot 139, Adrian, MI 49221 | 2015-08-04 |
| 1316320039 | Shirley Goodlock | Community/Behavioral Health | 3091 E. Carleton Rd, Adrian, MI 49221 | 2015-06-30 |
| Find all providers in zip 49221 | ||||
| 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 |
|---|---|---|---|---|
| 1043442221 | Adrian Care Center, Inc. | Skilled Nursing Facility | 603 Louisiana Ave, Adrian, MN 56110-1051 | 2009-08-20 |
| 1124054366 | City of Adrian - Adrian Manor Health and Rehab | Skilled Nursing Facility | 402 W 1st St, Adrian, MO 64720-9998 | 2006-06-22 |
| 1013952720 | Tendercare (michigan) Inc. | Skilled Nursing Facility | 130 Sand Creek Hwy, Adrian, MI 49221-9129 | 2006-06-17 |
| 1013959147 | Johnson County Ltc LLC | Skilled Nursing Facility | 12 Smith Ln, Adrian, GA 31002-4820 | 2006-06-12 |
| 1770524555 | Sanford Health Network | Skilled Nursing Facility | 603 Louisiana Avenue, Adrian, MN 56110 | 2006-06-10 |
| 1548223720 | Lenawee Long Term Care | Skilled Nursing Facility | 700 Lakeshire Trl, Adrian, MI 49221-1565 | 2006-04-10 |
| 1306823919 | Ihs Acquisition No 114 Inc | Skilled Nursing Facility | 730 Kimole Lane, Adrian, MI 49221-1463 | 2005-12-23 |
| 1861488108 | Lenawee Medical Care Facility | Skilled Nursing Facility | 200 Sand Creek Hwy, Adrian, MI 49221-1255 | 2005-09-22 |
| 1982183042 | Adrian Mi Snf Management LLC | Skilled Nursing Facility | 130 Sand Creek Hwy, Adrian, MI 49221-9129 | 2018-08-09 |
| 1205297249 | Chalet of Adrian LLC | Skilled Nursing Facility | 130 Sand Creek Hwy, Adrian, MI 49221-9129 | 2016-03-18 |
| Find all providers in ADRIAN | ||||
Please comment or provide details below to improve the information on CRG LYNWOOD, LLC.
| 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.