CONVALCARE CORPORATION (NPI# 1043216518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043216518 |
| Entity Type | Organization |
| Organization Name | CONVALCARE CORPORATION |
| Other Organization Name | STOCKBRIDGE COUNTRY MANOR |
| Practice Address |
406 W Main St Stockbridge MI 49285-9719 |
| Practice Telephone | 5178517700 |
| Practice Fax Number | 5178518862 |
| Mailing Telephone | 5178517700 |
| Mailing Fax Number | 5178518862 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. PAUL E HIMELHOCH (ADMINISTRATOR) |
| Authorized Official Telephone | 5178517700 |
| Authorized Official Credential | L.N.H. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 334070 | MI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4579230 | 05 |
| Other Name | Type Code |
|---|---|
| Stockbridge Country Manor | Doing Business As Name - Organization |
| Street Address |
406 W MAIN ST |
| City | STOCKBRIDGE |
| State | MI |
| Zip Code | 49285-9719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750822631 | Mark K Taylor | Specialist | 110 Maple, Stockbridge, MI 49285 | 2017-03-13 |
| 1952522591 | Heather Michelle Adiska | Dentist | 100 West Main, Stockbridge, MI 49285 | 2007-05-01 |
| 1811060965 | Stockbridge Area Emergency Services Authority | Clinic/Center | 125 S. Center St, Stockbridge, MI 49285 | 2006-11-16 |
| 1881737617 | Larry Ernest Porzsolt | General Practice | 300 W Main St, Stockbridge, MI 49285-0217 | 2007-02-14 |
| 1417929746 | Stockbridge Area Ambulance, Inc. | Clinic/Center | 125 S. Center St, Stockbridge, MI 49285-0336 | 2006-02-02 |
| 1376507897 | Hometown Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 110 S Clinton St, Stockbridge, MI 49285-9148 | 2006-04-13 |
| 1558901124 | Home Town Pharmacy Inc | Pharmacy | 110 S Clinton St, Stockbridge, MI 49285-9148 | 2020-01-13 |
| 1467561472 | David C. Bust | Pharmacist | 110 S Clinton St, Stockbridge, MI 49285-9148 | 2006-08-30 |
| 1447335690 | Chelsea Professional Services | Specialist | 4525 S M 52, Stockbridge, MI 49285-9465 | 2006-10-26 |
| 1235410762 | Erin Darlington | Family Medicine | 4525 S M 52, Stockbridge, MI 49285-9465 | 2011-08-29 |
| Find all providers in zip 49285 | ||||
| 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 |
|---|---|---|---|---|
| 1790781821 | Piedmont Henry Hospital, Inc. | Skilled Nursing Facility | 1050 Hospital Dr, Stockbridge, GA 30281-7384 | 2005-06-23 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | STOCKBRIDGE |
| Zip Code | 49285 |
Please comment or provide details below to improve the information on CONVALCARE CORPORATION.
| 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.