COLDWATER PLACE (NPI# 1316973530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316973530 |
| Entity Type | Organization |
| Organization Name | COLDWATER PLACE |
| Practice Address |
4318 E Coldwater Rd Flint MI 48506-1054 |
| Practice Telephone | 8107361496 |
| Mailing Telephone | 8107361496 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2008-06-16 |
| Authorized Official Name | MR. JAMES BURNETT (OWNER) |
| Authorized Official Telephone | 8107361496 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | AF250093701 | MI | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | COLDWATER PLACE, LLC | 6819 Lima Road, Ft. Wayne, IN 46818 |
| Street Address |
4318 E COLDWATER RD |
| City | FLINT |
| State | MI |
| Zip Code | 48506-1054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629453725 | Sydney Wilson | Case Manager/Care Coordinator | 1526 Utah Ave, Flint, MI 48506 | 2015-07-30 |
| 1790199313 | Laurel Anne Paradise-bumhoffer | Nurse Practitioner | 3807 North Center Road, Flint, MI 48506 | 2014-06-12 |
| 1285982520 | Andrea Ann Rossi | Nurse Practitioner | 4302 Underhill Drive, Flint, MI 48506 | 2012-08-16 |
| 1134433329 | Shelia Evette Tucker | Social Worker | 3807 North Center Rd, Flint, MI 48506 | 2010-07-30 |
| 1851629125 | Amber Mayhew Homecare | Occupational Therapist | 5503 Mcnamara Lane, Flint, MI 48506 | 2009-11-25 |
| 1285872093 | Sherrie A Medling | Registered Nurse | 2811 E Court, Flint, MI 48506 | 2009-02-02 |
| 1013121631 | Jeffrey Wade Anderson | Occupational Therapist | 3011 North Center Road, Briarwood Manor, Flint, MI 48506 | 2007-05-10 |
| 1396803508 | Kalman J Knizner | Dentist | 5529 Richfield Rd, Flint, MI 48506 | 2006-12-04 |
| 1427151679 | Gertrude Burton Rutherford | Social Worker | 4302 Underhill Dr, Flint, MI 48506 | 2006-09-06 |
| 1164532966 | Bethany Lynn Pummill | Nurse Practitioner | 3011 North Center Rd, Flint, MI 48506 | 2006-08-30 |
| Find all providers in zip 48506 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215579537 | Eden Prairie Residential Care Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 302 Welch Blvd, Flint, MI 48503-1105 | 2019-10-09 |
| 1679010169 | Aim Too Please Home Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3220 Red Barn Rd, Flint, MI 48507-1278 | 2017-01-23 |
| 1477903730 | Gracie Hunter | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1110 Eldon Baker, Flint, MI 48507 | 2016-06-17 |
| 1770859217 | Consumer Advancement | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3209 Old Farm Rd, 4438 Colby Ct., Flint, MI 48507-1248 | 2012-03-29 |
| 1164718441 | Alternative Community Living, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 304 W Tobias St, Flint, MI 48503-3975 | 2011-06-24 |
| 1255576765 | Deshra Michelle Vines | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 714 Lippincott Blvd, Flint, MI 48503-5818 | 2008-12-11 |
| 1598916793 | Royster Haven | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2026 Oren Ave, Flint, MI 48505-4688 | 2008-10-06 |
| 1275740441 | Alternative Community Living, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1921 Colchester Rd, Flint, MI 48503-4676 | 2007-05-17 |
| 1609083872 | Alternative Community Living, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2820 Westwood Pkwy, Flint, MI 48503-4671 | 2007-05-17 |
| 1003842444 | Mayfield Adult Foster Care Home, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1113 E Hemphill Rd, Flint, MI 48507-2835 | 2006-06-25 |
| Find all providers in FLINT | ||||
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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.