TIMBERLINE LODGE INC. AFC


Address: 3771 Colwood Rd, Caro, MI 48723-9732
Phone: 9896734990

TIMBERLINE LODGE INC. AFC (NPI# 1164852240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164852240
Entity Type Organization
Organization Name TIMBERLINE LODGE INC. AFC
Practice Address 3771 Colwood Rd
Caro
MI 48723-9732
Practice Telephone 9896734990
Practice Fax Number 9896734991
Mailing Telephone 9896734990
Mailing Fax Number 9896734991
Enumeration Date 2013-11-26
Last Update Date 2013-11-26
Authorized Official Name KRISTINE DIEGEL (ADMINISTRATOR)
Authorized Official Telephone 9896734990
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 311ZA0620X Custodial Care Facility
Specialization: Adult Care Home
AM790009691 MI Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MI LICENSE NUMBER AM790009691 01

Office Location

Street Address 3771 COLWOOD RD
City CARO
State MI
Zip Code 48723-9732

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437715232 Comprehensive Pain Specialists, Pllc Pain Medicine 705 E Frank St, Caro, MI 48723 2019-05-16
1417411216 Caro Dental Associates Pllc Dentist 147 W Lincoln Street, Caro, MI 48723 2019-01-25
1346766870 Jean Ann Jackson Dietitian, Registered 401 North Hooper Street, Caro, MI 48723 2017-08-16
1043615800 Kaitlyn Tobin Psychologist 443 N State St., Caro, MI 48723 2014-10-22
1841639671 Joseph Aubrey Harper Social Worker 852 S. Hooper Street, New Light Child and Family Institut, Caro, MI 48723 2013-06-14
1629208343 Bertha M Dennis Massage Therapist Community Therapy 519 Pearl Street, Caro, MI 48723 2009-07-15
1073716734 Alia El Mousa Pediatrics 1525 Caro Rd, Caro, MI 48723 2007-06-08
1083656599 Arshad Aqil Internal Medicine 1070 East Caro Road, Caro, MI 48723 2006-06-11
1447205307 Mid Michigan Medicine PC Internal Medicine 1070 E Caro Rd, Caro, MI 48723 2006-05-22
1043268030 Carol L Starling Optometrist 170 N State St, Caro, MI 48723 2006-05-04
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Taxonomy Information

Taxonomy Code 311ZA0620X
Grouping Nursing & Custodial Care Facilities
Classification Custodial Care Facility
Specialization Adult Care Home

Taxonomy Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942720412 Country Comfort Spectrum of Light Custodial Care Facility 1754 Mertz Rd, Caro, MI 48723-9533 2017-06-26

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1194343046 Creekside Place, Inc. Custodial Care Facility 7251 N Briarcliff Knoll Dr, West Bloomfield, MI 48322-4049 2020-07-08
1174140420 Linda Perrault Custodial Care Facility 1551 S Hickory Ridge Rd, Milford, MI 48380-1519 2020-07-02
1063039923 Visel Afc, Inc. Custodial Care Facility 6565 Whitneyville Ave Se, Alto, MI 49302-9027 2020-06-26
1982226775 August Winter House, Inc. Custodial Care Facility 2111 N Latson Rd, Howell, MI 48855-9750 2020-05-14
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Competitor

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City CARO
Zip Code 48723

Improve Information

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Dataset Information

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.

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