PALMER'S PLACE INC (NPI# 1164055380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164055380 |
Entity Type | Organization |
Organization Name | PALMER'S PLACE INC |
Practice Address |
1009 S. St. Johns Rd Ithaca MI 48847 |
Mailing Address |
11345 W. St. Charles Rd Sumner MI 48889 |
Practice Telephone | 9898753745 |
Practice Fax Number | 9898753759 |
Mailing Telephone | 9894441597 |
Enumeration Date | 2020-02-17 |
Last Update Date | 2020-02-17 |
Authorized Official Name | JENNIA MARI WOODCOCK (ADMINISTRATOR OF AFC) |
Authorized Official Telephone | 9894441597 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 311Z00000X | Custodial Care Facility | Nursing & Custodial Care Facilities |
Street Address |
1009 S. ST. JOHNS RD |
City | ITHACA |
State | MI |
Zip Code | 48847 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851656326 | Kalpesh P Lad | Pharmacist | 1010 East Center St, Ithaca, MI 48847 | 2012-07-10 |
1609139302 | Brian Joseph Putman | Dentist | 610 N. Pine River St., Ithaca, MI 48847 | 2012-06-19 |
1265544423 | John N Allen | Optometrist | 531 E Center, Ithaca, MI 48847 | 2006-08-31 |
1386688604 | Darren M Riopelle Dds | Dentist | 108 South Main Street, Ithaca, MI 48847 | 2006-06-16 |
1518933100 | Hal A Williams | Family Medicine | 114 North Main St, Ithaca, MI 48847 | 2006-02-24 |
1841541844 | Jenna Putman | Dentist | 610 N Pine River St, Ithaca, MI 48847 | 2012-10-01 |
1083903991 | Beth M Johnson | Pharmacist | 1010 East Center Street, Ithaca, MI 48847 | 2011-03-31 |
1972578862 | Russell J Anderson | Family Medicine | 114 N Main St, Ithaca, MI 48847 | 2006-02-22 |
1003881053 | Hallie J Wilson | Family Medicine | 114 N Main St, Ithaca, MI 48847 | 2006-02-22 |
1801861851 | David J Freestone | Family Medicine | 114 N Main St, Ithaca, MI 48847 | 2006-02-22 |
Find all providers in zip 48847 |
Taxonomy Code | 311Z00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Custodial Care Facility |
A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518564715 | Nicole Marie Hutchinson | Custodial Care Facility | 519 S Vander Meulen Rd, Lake City, MI 49651-8717 | 2020-10-01 |
1831796028 | Sheila Ann Breiler | Custodial Care Facility | 631 S Vander Meulen Rd, Lake City, MI 49651-9367 | 2020-10-01 |
1033726427 | M & T Adult Foster Care, Inc | Custodial Care Facility | 5478 210th Ave, Reed City, MI 49677-8626 | 2020-09-29 |
1457974388 | Leeanne Marie Love Woolley | Custodial Care Facility | 621 S M 30, Gladwin, MI 48624-8443 | 2020-05-27 |
1326675950 | Timothy Alan Rantz | Custodial Care Facility | 1564 N M 63, Benton Harbor, MI 49022-2759 | 2020-03-24 |
1437782075 | Sharon Lynn Dewey | Custodial Care Facility | 1425 Ziggy Rd., Farwell, MI 48622 | 2020-02-21 |
1508400771 | Margaret M Dandron | Custodial Care Facility | 5740 Twin Lake Ave, Lake, MI 48632 | 2019-10-31 |
1831747500 | Rhonda L Owens | Custodial Care Facility | 3819 S Wise Rd, Mount Pleasant, MI 48858-8100 | 2019-08-27 |
1346711546 | Nationwide Community Housing Inc | Custodial Care Facility | 14391 Coyle St, Detroit, MI 48227-2585 | 2018-12-16 |
1164905683 | Autumn Ridge Gardens | Custodial Care Facility | 412 Marsac St, Bay City, MI 48708-7780 | 2018-09-11 |
Find all providers with the same taxonomy |
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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.