BUSH CREEK MANOR (NPI# 1467829028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467829028 |
| Entity Type | Organization |
| Organization Name | BUSH CREEK MANOR |
| Practice Address |
1023 Alice St Whitehall MI 49461-1421 |
| Practice Telephone | 2318930322 |
| Mailing Telephone | 2318930322 |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-08-28 |
| Authorized Official Name | MS. WENDY LEE BUSHARD (OWNER/ADMINISTRATOR) |
| Authorized Official Telephone | 2318930322 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | A610073721 | MI | Nursing & Custodial Care Facilities |
| Street Address |
1023 ALICE ST |
| City | WHITEHALL |
| State | MI |
| Zip Code | 49461-1421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720527955 | Wal-mart Stores East, Lp | Technician/Technologist | 2755 W Holton-whitehall Rd, Whitehall, MI 49461 | 2017-02-21 |
| 1720367055 | Jacob Marshall Taylor | Family Medicine | 905 E Colby St Ste 100, Whitehall, MI 49461 | 2011-08-04 |
| 1700982865 | Brent Richard Beacom | Chiropractor | 923 Colby Rd, Whitehall, MI 49461 | 2006-09-16 |
| 1760592539 | Preston Teval Bown | Dentist | 504 E Colby St, Whitchall, MI 49461 | 2006-08-30 |
| 1801821301 | Helena Maria Beacom | Chiropractor | 923 E Colby Rd, Beacom Family Chiropractic, Whitehall, MI 49461 | 2006-07-12 |
| 1992997647 | Matthew John Roberge | Family Medicine | 905 E Colby St, Whitehall, MI 49461 | 2007-08-16 |
| 1710013040 | Ronald A Lehman | Dentist | 116 W Colby St, Suite 1, Whitehall, MI 49461 | 2007-02-23 |
| 1073619136 | Beacom Family Chiropractic Wellness | Chiropractor | 923 Colby Rd, Whitehall, MI 49461 | 2006-09-16 |
| 1821037268 | Matthew Allen Tripp | Physician Assistant | 905 E Colby St, Whitehall, MI 49461 | 2006-06-04 |
| 1104817980 | Joseph Gerard Kerschen | Family Medicine | 905 E Colby St, Whitehall, MI 49461 | 2005-11-02 |
| Find all providers in zip 49461 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770013013 | Whitehall Assisted Living, LLC | Assisted Living Facility | 4801 E Broad St, Whitehall, OH 43213-1356 | 2017-06-19 |
| 1033508080 | Liberty Place Inc | Assisted Living Facility | 313 W Legion St, Whitehall, MT 59759-7762 | 2015-01-14 |
| 1417179664 | Caslen Living Centers, Inc. | Assisted Living Facility | 35 Skyline Drive, Whitehall, MT 59759 | 2007-05-03 |
| 1679907539 | Angela Hall | Assisted Living Facility | 3234 Nestrom Rd, Whitehall, MI 49461-9668 | 2013-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518567890 | Mcap Holt Opco LLC | Assisted Living Facility | 4300 Keller Rd, Holt, MI 48842-1268 | 2020-10-27 |
| 1457959363 | Baruch Sls, Inc. | Assisted Living Facility | 3191 M 65, Hale, MI 48739-8512 | 2020-10-13 |
| 1215544739 | Baruch Sls, Inc. | Assisted Living Facility | 3100 Wyndham Dr, Flushing, MI 48433-2290 | 2020-09-29 |
| 1730796558 | Baruch Sls, Inc. | Assisted Living Facility | 130 Mary Ann St, Grayling, MI 49738-7037 | 2020-09-25 |
| 1649887472 | Baruch Sls, Inc. | Assisted Living Facility | 300 S Grand Ave, Leland, MI 49654-5052 | 2020-09-25 |
| 1013524834 | Baruch Sls, Inc. | Assisted Living Facility | 2801 Charlevoix Rd, Petoskey, MI 49770-9727 | 2020-09-25 |
| 1346857174 | Baruch Sls, Inc. | Assisted Living Facility | 1311 Southwestern Dr, Tecumseh, MI 49286-1233 | 2020-09-25 |
| 1427665439 | Baruch Sls, Inc. | Assisted Living Facility | 301 N Quick St, Blissfield, MI 49228-1051 | 2020-09-24 |
| 1295341956 | Comfort Home of Bloomfield Inc | Assisted Living Facility | 6372 Tutbury Ln, Troy, MI 48098-2151 | 2020-09-18 |
| 1306451679 | Traditions At Rivertown Park, LLC | Assisted Living Facility | 3555 Copper River Ave Sw, Wyoming, MI 49418-9791 | 2020-09-13 |
| Find all providers with the same taxonomy | ||||
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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.