CRESTWOOD VILLAGE ASSISTED LIVING (NPI# 1114351152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114351152 |
| Entity Type | Organization |
| Organization Name | CRESTWOOD VILLAGE ASSISTED LIVING |
| Practice Address |
2378 South Lincoln Rd Mt. Pleasant MI 48858 |
| Mailing Address |
3196 Kraft Ave Se Suite 200 Grand Rapids MI 49512-2078 |
| Practice Telephone | 9897722183 |
| Practice Fax Number | 9897722296 |
| Mailing Telephone | 6164641564 |
| Mailing Fax Number | 6164642470 |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2015-03-09 |
| Authorized Official Name | MS. SAMANTHA THELEN (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 5178816051 |
| Is Organization Subpart | Y |
| Parent Organization Name | LEISURE LIVING MANAGEMENT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | AH370325563 | MI | Managed Care Organizations |
| Street Address |
2378 SOUTH LINCOLN RD |
| City | MT. PLEASANT |
| State | MI |
| Zip Code | 48858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535067 | Family Tree Maternity Center, LLC | Midwife | 5201 S. Mission Rd., Mt. Pleasant, MI 48858 | 2020-10-14 |
| 1942842471 | Isabella Citizens for Health, Inc. | Pharmacy | 2790 Health Parkway, Mt Pleasant, MI 48858 | 2019-10-16 |
| 1295299279 | Dalten Tyler Simnitch | Student in an Organized Health Care Education/Training Program | 3700 E Deerfield Rd, Lexington Ridge E01, Mount Pleasant, MI 48858 | 2019-01-24 |
| 1942773809 | Jordan Lynn Bell | Technician, Other | 798 S Whilteville Rd, Mount Pleasant, MI 48858 | 2019-01-03 |
| 1083183578 | Amanda Danielle Greene | Student in an Organized Health Care Education/Training Program | 1280 E. Campus Dr., Central Michigan University, Mt. Pleasant, MI 48858 | 2018-11-14 |
| 1891264388 | Emily Mccullen | Student in an Organized Health Care Education/Training Program | 1280 E Campus Drive, Central Michigan University, Mount Pleasant, MI 48858 | 2018-11-14 |
| 1174092662 | Nathaniel Lambie | Student in an Organized Health Care Education/Training Program | 1280 East Campus Drive, Central Michigan University, Mount Pleasant, MI 48858 | 2018-11-14 |
| 1386110872 | Megan Stahl | Social Worker | 301 S Crapo St Suite 100, Mt.pleasant, MI 48858 | 2018-10-23 |
| 1710461090 | Beverly Jean Medford | Custodial Care Facility | 9318 E. Pickard Rd., Mount Pleasant Mi, MI 48858 | 2018-09-21 |
| 1760976211 | Jen Carlesimo | Behavior Technician | Central Autism Treatment Center, 2520 S. University Park Drive, Building D, Mt. Pleasant, MI 48858 | 2018-06-19 |
| Find all providers in zip 48858 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "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. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902333263 | Sisters of Sobriety | Exclusive Provider Organization | 5398 Pierce Rd, Remus, MI 49430 | 2017-05-17 |
| 1952837163 | Genuine Care Services LLC | Exclusive Provider Organization | 400 Renaissance Center Suite 2600, Detroit, MI 48243 | 2017-05-08 |
| 1013457308 | Affordable Care Consulting, LLC | Exclusive Provider Organization | 28709 Dequinred Rd, Suite 2, Madison Heights, MI 48071 | 2017-03-06 |
| 1548708654 | Mother & Child Mihp of Michigan, Inc. | Exclusive Provider Organization | 1457 South Oakland, St Clair, MI 48079 | 2017-02-09 |
| 1073051264 | Creekside Manor | Exclusive Provider Organization | 17460 12 Mile Rd, Big Rapids, MI 49307-9554 | 2017-02-07 |
| 1144672676 | God's Precious Treasures II | Exclusive Provider Organization | 22805 Goddard Rd, Taylor, MI 48180-4170 | 2016-07-08 |
| 1043662422 | Robin Marie Lepper | Exclusive Provider Organization | 530 W Chicago St, Coldwater, MI 49036-1873 | 2016-07-08 |
| 1427403831 | Intense Holistic Healing Hands | Exclusive Provider Organization | 8245 Valley View Cir Apt 132c, Westland, MI 48185-5511 | 2016-05-04 |
| 1295180834 | Natures Natural Mobile Spa | Exclusive Provider Organization | 3008 Marlborough St, Detroit, MI 48215-2536 | 2016-05-02 |
| 1003270026 | Kiss Kissable Kids LLC | Exclusive Provider Organization | 32461 Schoolcraft Rd, Livonia, MI 48150-4300 | 2016-04-06 |
| Find all providers with the same taxonomy | ||||
| City | MT. PLEASANT |
| Zip Code | 48858 |
Please comment or provide details below to improve the information on CRESTWOOD VILLAGE ASSISTED LIVING.
| 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.