BRENDA WODARSKI (NPI# 1043640337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043640337 |
| Entity Type | Individual |
| Full Name | BRENDA WODARSKI |
| Practice Address |
3109 S Bluff Ct Hudsonville MI 49426-1580 |
| Mailing Address |
3761 Bradwood Ct Nw Walker MI 49534-2722 |
| Practice Telephone | 6162095029 |
| Mailing Telephone | 6165403038 |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2013-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376G00000X | Nursing Home Administrator | AS700317377 | MI | Nursing Service Related Providers |
| Street Address |
3109 S BLUFF CT |
| City | HUDSONVILLE |
| State | MI |
| Zip Code | 49426-1580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588094775 | Platinum Living LLC | Assisted Living Facility | 3109 S Bluff Ct, Hudsonville, MI 49426-1580 | 2013-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528680089 | Bree D Bode | Health Educator | 3625 Black Star St, Hudsonville, MI 49426 | 2020-05-07 |
| 1306409891 | Rachael Elizabeth Schutter | Physical Therapy Assistant | 3650 Vanburen St, Hudsonville, MI 49426 | 2019-04-19 |
| 1215430699 | Jennifer Anne-gluszewski Patterson | Physical Therapist | 6105 Wilson Ave, Wyoming, MI 49426 | 2018-03-13 |
| 1457850802 | Spectrum Health Primary Care Partners | Physician Assistant | 4075 32nd Ave, Hudsonville, MI 49426 | 2018-02-12 |
| 1952845182 | Katie Farnquist | Counselor | 1388 Baldwin St., Suite A, Jenison, MI 49426 | 2016-12-07 |
| 1205238540 | Marta Stern | Mechanotherapist | 3152a Port Sheldon Rd., Hudsonville, MI 49426 | 2014-09-18 |
| 1376883355 | Traci L Potter | Social Worker | 4216 Nancy St., Hudsonville, MI 49426 | 2013-02-27 |
| 1871846790 | Dignity Home Care Professionals | Home Health | 7499 Russell Dr, Hudsonville, MI 49426 | 2012-10-16 |
| 1427332303 | Benjamin Matthew Bringedahl | Pharmacist | 3457 Stonyridge Dr, Hudsonville, MI 49426 | 2011-10-10 |
| 1295017234 | Jennifer Lemieux | Pharmacist | 1463 Rebecca Run, Hudsonville, MI 49426 | 2011-09-15 |
| Find all providers in zip 49426 | ||||
| Taxonomy Code | 376G00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nursing Home Administrator |
| An individual, often licensed by the state, who is responsible for the management of a nursing home. |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, 1994, p. 552. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977561 | Anna Bakkour | Nursing Home Administrator | 6312 Whitefield St, Dearborn Heights, MI 48127-4815 | 2020-09-16 |
| 1649888280 | Latifah Wadeedah Jones | Nursing Home Administrator | 849 E Grand Blvd, Detroit, MI 48207-2551 | 2020-07-20 |
| 1710508569 | Santias Place LLC | Nursing Home Administrator | 7370 Cornwall Ct, West Bloomfield, MI 48322-4069 | 2020-05-04 |
| 1750902755 | Theresa Ann Posey | Nursing Home Administrator | 8470 Parshallville Rd, Fenton, MI 48430-9211 | 2020-04-30 |
| 1326674888 | Haven Lee Homes LLC | Nursing Home Administrator | 760 Wattles Rd, Bloomfield Hills, MI 48304-3279 | 2020-03-17 |
| 1912541038 | Debra Phillip | Nursing Home Administrator | 25775 Larkins St, Southfield, MI 48033-4852 | 2019-10-31 |
| 1154965366 | Joshua Phillip | Nursing Home Administrator | 21691 Fairway Dr, Southfield, MI 48033-4314 | 2019-10-30 |
| 1922516384 | Cynthia Clair Reese | Nursing Home Administrator | 22625 Glendale, Det, MI 48223 | 2018-01-18 |
| 1457877110 | Larese Wood | Nursing Home Administrator | 26505 Coolidge Hwy, Oak Park, MI 48237-1114 | 2017-08-15 |
| 1063955565 | Cheryl Lamar | Nursing Home Administrator | 27900 Sumpter Rd, New Boston, MI 48164-9621 | 2016-12-01 |
| Find all providers with the same taxonomy | ||||
| City | HUDSONVILLE |
| Zip Code | 49426 |
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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.