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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | LICENSE NUMBER | AM790009691 | 01 |
Street Address |
3771 COLWOOD RD |
City | CARO |
State | MI |
Zip Code | 48723-9732 |
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 |
Find all providers in zip 48723 |
Taxonomy Code | 311ZA0620X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Custodial Care Facility |
Specialization | Adult Care Home |
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] |
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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1306452917 | Caring Hearts Afc | Custodial Care Facility | 1029 Westmoreland Ave, Kalamazoo, MI 49006-5567 | 2020-09-18 |
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1497364442 | Bolton Brook Manor | Custodial Care Facility | 4554 Thomas Rd, Metamora, MI 48455-9220 | 2020-07-27 |
1578171104 | Dream Housing Opportunities LLC | Custodial Care Facility | 304 Wetmore St, Howell, MI 48843-1559 | 2020-07-20 |
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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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.