IHS ACQUISITION NO 111, INC. (NPI# 1205039146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205039146 |
Entity Type | Organization |
Organization Name | IHS ACQUISITION NO 111, INC. |
Other Organization Name | CLARKSTON SPECIALTY HEALTHCARE CENTER |
Practice Address |
4800 Clintonville Rd Clarkston MI 48346-4297 |
Mailing Address |
930 Ridgebrook Road Sparks MD 21152 |
Practice Telephone | 2486740903 |
Mailing Telephone | 4107731000 |
Enumeration Date | 2007-06-07 |
Last Update Date | 2007-10-02 |
Authorized Official Name | MAGGIE CANNY (PRESIDENT) |
Authorized Official Telephone | 2486740903 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 634023 | MI | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 4608402 | 05 |
Other Name | Type Code |
---|---|
Clarkston Specialty Healthcare Center | Doing Business As Name - Organization |
Street Address |
4800 CLINTONVILLE RD |
City | CLARKSTON |
State | MI |
Zip Code | 48346-4297 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508953787 | Ihs Acquisition No. 111, Inc. | Skilled Nursing Facility | 4800 Clintonville Rd, Clarkston, MI 48346-4297 | 2006-10-07 |
1861041345 | William Bruce Swain | Physical Therapy Assistant | 4800 Clintonville Rd, Clarkston, MI 48346-4297 | 2019-09-08 |
1811458854 | Vickee Sand | Respiratory Therapist, Registered | 4800 Clintonville Rd, Clarkston, MI 48346-4297 | 2019-03-30 |
1548699036 | Clarkston Operating Company LLC | Skilled Nursing Facility | 4800 Clintonville Rd, Clarkston, MI 48346-4297 | 2013-11-05 |
1700071826 | Nicole M Plummer | Speech-Language Pathologist | 4800 Clintonville Rd, Clarkston, MI 48346-4297 | 2007-09-11 |
1851457287 | Mushtaque Ali Syed | Family Medicine | 4800 Clintonville Rd, Clarkston, MI 48346-4297 | 2006-12-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497399745 | Therapy Services of Clarkston LLC | Clinic/Center | 6770 Dixie Highway, Suite 103, Clarkston, MI 48346 | 2019-10-30 |
1679041545 | Shiba Lashon Nixon | Registered Nurse | New Oakland, 6549 Town Center Suite A, Clarkston, MI 48346 | 2018-11-08 |
1972079655 | Stephanie Gaumer | Social Worker | 6825 Dixie Hwy Ste E, Clarkston, MI 48346 | 2018-10-19 |
1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
1558880591 | 3rd Circle Inc. | Home Health Aide | 39 South Main Street, Ste 2, Clarkston, MI 48346 | 2017-09-11 |
1376083246 | Rosemarie Villarreal | Social Worker | 4480 Elmdale Ave, Clarkston, MI 48346 | 2017-02-27 |
1932566940 | Syncere Hearts Home Healthcare, LLC | Home Health | 5836 North Marshbank Lane Apt203, Clarkston, MI 48346 | 2016-01-21 |
1649635087 | Coddaire & Associates, Inc. | Community/Behavioral Health | 6445 Citation Drive, Suite H, Clarkston, MI 48346 | 2015-12-30 |
1013386358 | Victoria Urikh-garcia | Technician, Other | 6510 Town Center Dr Ste E, Clarkston, MI 48346 | 2015-09-16 |
1194090993 | Stefanie Pavloski | Counselor | 5701 Bow Pointe Dr., Ste. #380, Clarkston, MI 48346 | 2012-03-13 |
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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 |
---|---|---|---|---|
1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
1588751697 | Eagle Healthcare, Inc | Skilled Nursing Facility | 1242 11th St, Clarkston, WA 99403-2815 | 2006-10-09 |
1508953787 | Ihs Acquisition No. 111, Inc. | Skilled Nursing Facility | 4800 Clintonville Rd, Clarkston, MI 48346-4297 | 2006-10-07 |
1548699036 | Clarkston Operating Company LLC | Skilled Nursing Facility | 4800 Clintonville Rd, Clarkston, MI 48346-4297 | 2013-11-05 |
1841548757 | Care Center Clarkston Inc. | Skilled Nursing Facility | 1242 11th St, Clarkston, WA 99403-2815 | 2012-08-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538798731 | Windemere Park of Troy Operations LLC | Skilled Nursing Facility | 5990 N Adams Rd, Troy, MI 48098-2377 | 2020-04-08 |
1982235396 | Berg-lahser Snf, LLC | Skilled Nursing Facility | 21630 Hessel Ave # 1230, Detroit, MI 48219-1230 | 2020-02-04 |
1508497918 | Harmony Village Snf, LLC | Skilled Nursing Facility | 16588 Schaefer Hwy # 4249, Detroit, MI 48235-4249 | 2020-02-04 |
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 |
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 |
1326565862 | Healthbridge LLC | Skilled Nursing Facility | 2060 Health Dr Sw, Wyoming, MI 49519-9687 | 2017-08-25 |
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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.