FOREST GLEN ASSISTED LIVING, LLC


Address: 29601 Amerihost Dr, Dowagiac, MI 49047-8320
Phone: 2697825300

FOREST GLEN ASSISTED LIVING, LLC (NPI# 1437467255) 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) 1437467255
Entity Type Organization
Organization Name FOREST GLEN ASSISTED LIVING, LLC
Other Organization Name FOREST GLEN ASSISTED LIVING - LABORATORY
Practice Address 29601 Amerihost Dr
Dowagiac
MI 49047-8320
Practice Telephone 2697825300
Mailing Telephone 2697825300
Enumeration Date 2010-09-14
Last Update Date 2010-09-14
Authorized Official Name MR. THOMAS NOBEL (PRESIDENT)
Authorized Official Telephone 2697825300
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory 23D1102204 MI Laboratories

Other Provider/Organization Names

Other Name Type Code
Forest Glen Assisted Living - Laboratory Doing Business As Name - Organization

Office Location

Street Address 29601 AMERIHOST DR
City DOWAGIAC
State MI
Zip Code 49047-8320

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457688145 Forest Glen Assisted Living Assisted Living Facility 29601 Amerihost Dr, Dowagiac, MI 49047-8320 2009-11-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497149124 Karianne Ely Specialist/Technologist 92407 Center Dr, Dowagaic, MI 49047 2015-03-19
1669786257 Pokagon Band of Potawatomi Indians Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 32652 Kno Dr, Dowagiac, MI 49047 2010-08-06
1851619332 Paddington Healthcare of Michigan LLC Skilled Nursing Facility 55432 Colby Street, Dowagiac, MI 49047 2010-05-10
1649502592 Dowagiac Surgery PC Surgery 106 South Lowe St, Dowagiac, MI 49047 2010-02-03
1134336605 Stephanie Lynn Munson Specialist/Technologist 29650 M62 W, Dowagiac, MI 49047 2007-05-16
1689705444 Michael R Dewitt Pharmacist 56151 M51 South, Dowagiac, MI 49047 2007-03-07
1225185705 Pokagon Band of Potawatomi Indians Dietitian, Registered 32652 Kno, Dowagiac, MI 49047 2007-01-05
1588726517 Lee Memorial Hospital Corporation Clinic/Center 67892 M-152, Dowagiac, MI 49047 2006-12-15
1326156332 Megan Lynne Foote Pharmacist 56151 M-51, Dowagiac, MI 49047 2006-08-29
1467567057 Jonathan Wade Gillesby Dentist 530 Riverside Drive, Dowagiac, MI 49047 2006-08-21
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186.

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1720617947 Covenant Pathology Associates, PC Clinical Medical Laboratory 4707 Mcleod Dr E, Saginaw, MI 48604-2853 2020-04-08
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Competitor

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City DOWAGIAC
Zip Code 49047

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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