MCLAREN LAPEER REGION (NPI# 1104917079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104917079 |
| Entity Type | Organization |
| Organization Name | MCLAREN LAPEER REGION |
| Practice Address |
1375 N Main St Lapeer MI 48446-1350 |
| Practice Telephone | 8106675500 |
| Practice Fax Number | 8103421335 |
| Mailing Telephone | 8106675500 |
| Mailing Fax Number | 8103421335 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2019-06-26 |
| Authorized Official Name | FRED KORTE (VP/CFO) |
| Authorized Official Telephone | 8103422000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CARE NETWORK | 13549 | 01 |
| MI | 62 3407428 | 05 | |
| MI | BCBSM | 09943 | 01 |
| MI | HEALTHPLUS OF MICHIGAN | 0000004 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942549159 | Mclaren Lapeer Region | Emergency Medicine | 1254 N Main St, Lapeer, MI 48446-1343 | 2013-02-07 |
| 1184998288 | Mclaren Lapeer Region | Surgery | 1375 N Main St, Lapeer, MI 48446-1350 | 2012-03-07 |
| 1013294735 | Mclaren Lapeer Region | Psychologist | 1375 N Main St, Lapeer, MI 48446-1350 | 2011-11-09 |
| 1740498799 | Mclaren Lapeer Region | Clinical Medical Laboratory | 1375 N Main St, Lapeer, MI 48446-1350 | 2007-05-21 |
| 1245353937 | Mclaren Lapeer Region | Psychiatric Hospital | 1375 N Main St, 2 South, Lapeer, MI 48446-1350 | 2007-04-09 |
| 1275650566 | Mclaren Lapeer Region | Pharmacy | 1375 N Main St, Lapeer, MI 48446-1350 | 2007-03-23 |
| 1124151147 | Mclaren Lapeer Region | Nurse Anesthetist, Certified Registered | 1375 N Main St, Lapeer, MI 48446-1350 | 2007-03-13 |
| 1740313667 | Mclaren Lapeer Region | Internal Medicine | 1375 N Main St, Lapeer, MI 48446-1350 | 2007-03-13 |
| 1508905910 | Mclaren Lapeer Region | Psychologist | 1375 N Main St, Lapeer, MI 48446-1350 | 2007-02-05 |
| 1205824737 | Mclaren Lapeer Region | General Acute Care Hospital | 1375 N Main St, Lapeer, MI 48446-1350 | 2005-10-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MCLAREN LAPEER REGION | 1375 N Main, Lapeer, MI 48446-1350 |
| Street Address |
1375 N MAIN ST |
| City | LAPEER |
| State | MI |
| Zip Code | 48446-1350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205839909 | Gary Sheldon Salem | Internal Medicine | 1375 N Main St, 1w, Lapeer, MI 48446-1350 | 2005-05-27 |
| 1124651138 | Muamer Mesinovic | Nurse Anesthetist, Certified Registered | 1375 N Main St, Lapeer, MI 48446-1350 | 2020-02-18 |
| 1649828146 | Mayo Mitsuya Pllc | Surgery | 1375 N Main St, Lapeer, MI 48446-1350 | 2019-08-28 |
| 1881254340 | Justin Bailey | Registered Nurse | 1375 N Main St, Lapeer, MI 48446-1350 | 2019-06-17 |
| 1629631205 | Hayley L Dunlap | Registered Nurse | 1375 N Main St, Lapeer, MI 48446-1350 | 2019-04-18 |
| 1871061424 | Marci Kay Coates | Nurse Practitioner | 1375 N Main St, Lapeer, MI 48446-1350 | 2018-11-12 |
| 1659849586 | Ashley N Brown | Nurse Practitioner | 1375 N Main St, Lapeer, MI 48446-1350 | 2018-11-08 |
| 1023591484 | Rose Kodsy | Nurse Practitioner | 1375 N Main St, Lapeer, MI 48446-1350 | 2018-09-12 |
| 1427546290 | Brooke Lubahn | Occupational Therapist | 1375 N Main St, Lapeer, MI 48446-1350 | 2018-04-27 |
| 1255838090 | Thandapani Sivakumar | Physical Therapist | 1375 N Main St, Lapeer, MI 48446-1350 | 2018-04-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285136986 | Michelle Jean Windom | Social Worker | 608 Fox St., Lapeer, MI 48446 | 2018-03-08 |
| 1831448927 | Christina Thick | Registered Nurse | 1570 Suncrest Drive, Lapeer, MI 48446 | 2012-09-05 |
| 1740556109 | Nina S Lopatin | Audiologist | 951 S. Main Street, Ste. 2, Lapeer, MI 48446 | 2012-03-29 |
| 1316249295 | Adam Richard Ahlgren | Occupational Therapist | 2525 Demille Blvd, Lapeer, MI 48446 | 2010-11-26 |
| 1780903898 | Melissa Ann Price | Occupational Therapy Assistant | 1582 Heather Drive, Lapeer, MI 48446 | 2010-05-28 |
| 1801123732 | Colleen Marie Soto | Counselor | 608 Fox Street, Lapeer, MT 48446 | 2009-11-13 |
| 1396071684 | Michigan Spinal Rehabilitation Clinics Pllc | Psychiatry & Neurology | 2401 W. Genesee Street, Suite A, Lapeer, MI 48446 | 2009-10-22 |
| 1659541902 | Hesham E Gayar, Md, PC | Specialist | 1295 Barry Drive, Suite A, Lapeer, MI 48446 | 2008-03-03 |
| 1790977494 | Stanley S. Roland, D.o., P.C. | Dermatology | 610 North Main Street, Lapeer, MI 48446 | 2007-08-16 |
| 1316139603 | Kimberly Ann Proffer | Pharmacist | 15555 Demill Rd, Lapeer, MI 48446 | 2007-08-10 |
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| 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 |
|---|---|---|---|---|
| 1760475123 | Lapeer County Medical Care Facility | Skilled Nursing Facility | 1455 Suncrest Dr, Lapeer, MI 48446-1151 | 2005-08-31 |
| 1386164820 | Davis & Davis Management Group LLC | Skilled Nursing Facility | 239 S Main St, Lapeer, MI 48446-2426 | 2017-06-26 |
| 1194087486 | Trilogy Healthcare of Lapeer, LLC | Skilled Nursing Facility | 2525 Demille Blvd, Lapeer, MI 48446-3461 | 2012-06-12 |
| 1588655849 | Ferguson Convalescent Home, Inc. | Skilled Nursing Facility | 239 S Main St, Lapeer, MI 48446-2426 | 2005-11-03 |
| 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 |
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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.