LAUREL HEALTH CARE COMPANY OF WAYLAND (NPI# 1447347794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447347794 |
Entity Type | Organization |
Organization Name | LAUREL HEALTH CARE COMPANY OF WAYLAND |
Other Organization Name | THE LAURELS OF SANDY CREEK |
Practice Address |
425 E Elm St Wayland MI 49348-1109 |
Practice Telephone | 6167922249 |
Practice Fax Number | 6167926121 |
Mailing Telephone | 6167922249 |
Mailing Fax Number | 6167926121 |
Enumeration Date | 2006-10-06 |
Last Update Date | 2007-09-05 |
Authorized Official Name | MR. TIMOTHY PATTON (CFO) |
Authorized Official Telephone | 6147948800 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
0340303 | MI | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | NH LICENSE # | 034030 | 01 |
MI | 3202091 | 05 | |
MI | UNITED HEALTH CARE ID # | 7105598 | 01 |
Other Name | Type Code |
---|---|
THE LAURELS OF SANDY CREEK | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114972817 | Laurel Health Care Company of Wayland | Nursing Facility/Intermediate Care Facility | 425 E Elm St, Wayland, MI 49348-1109 | 2006-05-23 |
Street Address |
425 E ELM ST |
City | WAYLAND |
State | MI |
Zip Code | 49348-1109 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114972817 | Laurel Health Care Company of Wayland | Nursing Facility/Intermediate Care Facility | 425 E Elm St, Wayland, MI 49348-1109 | 2006-05-23 |
1871156521 | Sarah Elizabeth Burkey | Physical Therapy Assistant | 425 E Elm St, Wayland, MI 49348-1109 | 2019-04-18 |
1609439405 | Margaret Dawn Wilkins | Occupational Therapy Assistant | 425 E Elm St, Wayland, MI 49348-1109 | 2019-04-17 |
1407419518 | Hannah Lyn Breuker | Physical Therapy Assistant | 425 E Elm St, Wayland, MI 49348-1109 | 2019-04-16 |
1003479114 | Joseph Thaddeus Smolarkiewicz | Occupational Therapist | 425 E Elm St, Wayland, MI 49348-1109 | 2019-04-16 |
1144783671 | Keith Michael Hintz | Physical Therapy Assistant | 425 E Elm St, Wayland, MI 49348-1109 | 2019-04-11 |
1144783697 | Chantel Marie Money | Physical Therapy Assistant | 425 E Elm St, Wayland, MI 49348-1109 | 2019-04-11 |
1811450364 | Carolyn Tenbroeke | Occupational Therapy Assistant | 425 E Elm St, Wayland, MI 49348-1109 | 2019-04-11 |
1861616609 | Ruth Ann Zimmer | Physical Therapy Assistant | 425 E Elm St, Wayland, MI 49348-1109 | 2007-04-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215447214 | Alexandra Jo Obetts | Occupational Therapist | 145 S. Main Suite 4, Wayland, MI 49348 | 2017-10-04 |
1821450404 | Samantha Chilcote Ritenburgh | Psychologist | 2730 S Patterson Rd, Wayland, MI 49348 | 2016-03-23 |
1629222864 | Susan Mccourt | Physical Therapist | 709 W. Superior, Wayland, MI 49348 | 2008-11-14 |
1720204126 | Christine Laura Ackermann | Dentist | 12715 W M-179 Hwy, Wayland, MI 49348 | 2007-04-17 |
1811069099 | Adam Greenman | Chiropractor | 135 E. Superior St., Wayland, MI 49348 | 2006-11-14 |
1942392337 | Robert Michael Rowe | Pharmacist | 300 Reno Drive, Wayland, MI 49348 | 2006-09-29 |
1447223995 | Ronald Angelo House II | Chiropractor | 135 E Superior St, Wayland, MI 49348 | 2006-02-07 |
1699055194 | Rebecca G Eckert | Nurse Practitioner | 12851 W M 179 Hwy, Wayland, MI 49348 | 2011-08-28 |
1023100419 | Michael Shannon Shea | Pharmacist | 300 Reno Dr, Wayland Village Pharmacy, Wayland, MI 49348 | 2006-09-29 |
1295769123 | Peter Anthony Post | Physical Therapist | 145 S Main St, Wayland, MI 49348 | 2006-07-10 |
Find all providers in zip 49348 |
Taxonomy Code | 332BP3500X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
Specialization | Parenteral & Enteral Nutrition |
Definition to come... |
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1528362076 | Homescripts.com, LLC | Durable Medical Equipment & Medical Supplies | 500 Kirts Blvd., Suite 300, Troy, MI 48084-4135 | 2010-12-27 |
1427387042 | Sparrow Community Care | Durable Medical Equipment & Medical Supplies | 1015 Charlevoix Drive, Suite 1, Grand Ledge, MI 48837-2296 | 2009-12-10 |
1184953903 | First American Medical Supply Company Inc. | Durable Medical Equipment & Medical Supplies | 4824 Burns St, Detroit, MI 48214-1277 | 2009-12-08 |
1881825073 | Airway Oxygen Inc | Durable Medical Equipment & Medical Supplies | 2540 28th St Sw, Wyoming, MI 49519-2106 | 2009-08-05 |
1477705184 | Airway Oxygen Inc | Durable Medical Equipment & Medical Supplies | 3940 E. Washington Rd., Saginaw, MI 48601 | 2008-10-14 |
1275748022 | Senior Community Nursing Center | Durable Medical Equipment & Medical Supplies | 18300 E Warren Ave, Detroit, MI 48224-1343 | 2007-05-14 |
1942326848 | Sparrow Community Care | Durable Medical Equipment & Medical Supplies | 922 S Mission St, Mt Pleasant, MI 48858-3548 | 2007-03-22 |
1891811782 | Sparrow Community Care | Durable Medical Equipment & Medical Supplies | 1022 Michigan Ave, Alma, MI 48801-1330 | 2007-03-22 |
1689737066 | Kabafusion Mi, LLC | Durable Medical Equipment & Medical Supplies | 3631 44th St Se, Ste. C, Kentwood, MI 49512-3971 | 2006-12-18 |
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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.