LOURDES, INC (NPI# 1184616732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184616732 |
| Entity Type | Organization |
| Organization Name | LOURDES, INC |
| Practice Address |
2300 Watkins Lake Rd Waterford MI 48328-1439 |
| Practice Telephone | 2486742241 |
| Practice Fax Number | 2486741211 |
| Mailing Telephone | 2486742241 |
| Mailing Fax Number | 2486741211 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2008-01-14 |
| Authorized Official Name | MRS. KATHLEEN MARIE RILEY (MEDICAL BILLER) |
| Authorized Official Telephone | 2486742241 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | MI | Nursing & Custodial Care Facilities |
| Street Address |
2300 WATKINS LAKE RD |
| City | WATERFORD |
| State | MI |
| Zip Code | 48328-1439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275167116 | Carly Michelle Mcguire | Speech-Language Pathologist | 2300 Watkins Lake Rd, Waterford, MI 48328-1439 | 2020-03-01 |
| 1609377811 | Kristin Marie Durand | Occupational Therapist | 2300 Watkins Lake Rd, Waterford, MI 48328-1439 | 2018-02-22 |
| 1760796916 | Maria Kraska | Speech-Language Pathologist | 2300 Watkins Lake Rd, Waterford, MI 48328-1439 | 2010-07-29 |
| 1003048836 | Sharon Weaver | Physical Therapist | 2300 Watkins Lake Rd, Waterford, MI 48328-1439 | 2009-08-12 |
| 1346480266 | Lisa Zeile | Speech-Language Pathologist | 2300 Watkins Lake Rd, Waterford, MI 48328-1439 | 2009-03-05 |
| 1891949459 | Cheryl Burford | Occupational Therapist | 2300 Watkins Lake Rd, Waterford, MI 48328-1439 | 2008-11-10 |
| 1598914848 | Tim Cook | Physical Therapy Assistant | 2300 Watkins Lake Rd, Waterford, MI 48328-1439 | 2008-09-11 |
| 1255587754 | Kimberly L Schroeder | Speech-Language Pathologist | 2300 Watkins Lake Rd, Waterford, MI 48328-1439 | 2008-08-15 |
| 1760691679 | John Padura | Physical Therapist | 2300 Watkins Lake Rd, Waterford, MI 48328-1439 | 2007-05-21 |
| 1780808436 | Karen E Smith | Physical Therapist | 2300 Watkins Lake Rd, Waterford, MI 48328-1439 | 2007-04-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477184125 | Lillian Atty | Pharmacist | 1484 Rivona Dr, Waterford, MI 48328 | 2020-01-31 |
| 1437631850 | Rana Ismail | Pharmacist | 3273 West Huron St, Waterford, MI 48328 | 2018-09-01 |
| 1588181978 | India Dunlap | Social Worker | 279 Summit Dr., Waterford, MI 48328 | 2017-08-25 |
| 1689191280 | Sydney Strandberg | Social Worker | 1145 Parkway, Waterford, MI 48328 | 2017-08-24 |
| 1467982074 | Briana Greenlee | Dietitian, Registered | 3819 Faber Terrace, Waterford, MI 48328 | 2017-06-15 |
| 1922537364 | Lourdes Alzheimer's Special Care | Custodial Care Facility | 2400 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1013446459 | Lourdes Assisted Living | Assisted Living Facility | 2450 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1588019053 | Legacy Dermatology Group PC | Dermatology | 1392 S Cass Lake Rd, Waterford, MI 48328 | 2016-05-03 |
| 1932567989 | Devenia Denise Clayter | Counselor | 255 Summit Dr, Waterford, MI 48328 | 2016-02-05 |
| 1922409739 | Stacey Diggs | Counselor | 250 Elizabeth Lake Road, Biomed Behavorial Healthcare, Waterford, MI 48328 | 2014-09-11 |
| Find all providers in zip 48328 | ||||
| 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 |
|---|---|---|---|---|
| 1275069221 | 88 Clark Operating LLC | Skilled Nursing Facility | 88 Clark Ln, Waterford, CT 06385-2118 | 2017-05-11 |
| 1013013275 | Canterbury Health Care, Inc | Skilled Nursing Facility | 5601 Hatchery Rd, Waterford, MI 48329 | 2006-09-15 |
| 1891759551 | Haven Health Center of Waterford, LLC | Skilled Nursing Facility | 171 Rope Ferry Rd, Waterford, CT 06385-2600 | 2006-04-12 |
| 1588650840 | Greentree Manor Nursing and Rehabilitation Center Inc | Skilled Nursing Facility | 4 Greentree Dr, Waterford, CT 06385-4116 | 2005-09-22 |
| 1780670299 | Eastern Ct Health Systems Inc | Skilled Nursing Facility | 88 Clark Lane, Waterford, CT 06385 | 2005-09-21 |
| 1700229481 | 301 Rope Ferry Road, LLC. | Skilled Nursing Facility | 301 Rope Ferry Rd, Waterford, CT 06385-2610 | 2013-04-11 |
| 1811290281 | Northern Oak Management Company, LLC | Skilled Nursing Facility | 1901 N Telegraph Rd, Waterford, MI 48328-1878 | 2010-12-07 |
| 1053342626 | 301 Rope Ferry Road, LLC | Skilled Nursing Facility | 301 Rope Ferry Rd, Waterford, CT 06385-2610 | 2006-07-05 |
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| 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.