CRG LYNWOOD, LLC (NPI# 1467836411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467836411 |
| Entity Type | Organization |
| Organization Name | CRG LYNWOOD, LLC |
| Other Organization Name | LYNWOOD MANOR HEALTHCARE CENTER |
| Practice Address |
730 Kimole Ln Adrian MI 49221-1463 |
| Mailing Address |
4711 Golf Rd Suite 200 Skokie IL 60076-1224 |
| Practice Telephone | 5172636771 |
| Mailing Telephone | 8479339280 |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2015-07-20 |
| Authorized Official Name | ABRAHAM GUTNICKI (MANAGER) |
| Authorized Official Telephone | 8479339280 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BN1400X |
Durable Medical Equipment & Medical Supplies Specialization: Nursing Facility Supplies |
Suppliers |
| Other Name | Type Code |
|---|---|
| Lynwood Manor Healthcare Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023315421 | Crg Lynwood, LLC | Skilled Nursing Facility | 730 Kimole Ln, Adrian, MI 49221-1463 | 2011-02-21 |
| Street Address |
730 KIMOLE LN |
| City | ADRIAN |
| State | MI |
| Zip Code | 49221-1463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609974112 | Victoria Ann Vaccaro | Registered Nurse | 730 Kimole Ln, Adrian, MI 49221-1463 | 2006-09-20 |
| 1568946077 | Teresa Bednarz-vander Hoff | Occupational Therapist | 730 Kimole Ln, Adrian, MI 49221-1463 | 2018-09-20 |
| 1952802548 | Wesley Griffith | Physical Therapy Assistant | 730 Kimole Ln, Adrian, MI 49221-1463 | 2018-02-28 |
| 1174024863 | Seth Buckman | Occupational Therapy Assistant | 730 Kimole Ln, Adrian, MI 49221-1463 | 2018-02-27 |
| 1174032304 | Krista Ellis | Physical Therapist | 730 Kimole Ln, Adrian, MI 49221-1463 | 2017-09-20 |
| 1619400140 | Natalie Walton | Physical Therapist | 730 Kimole Ln, Adrian, MI 49221-1463 | 2017-04-11 |
| 1225488406 | Debra Lee Steyaert | Occupational Therapist | 730 Kimole Ln, Adrian, MI 49221-1463 | 2016-06-17 |
| 1306219076 | Angela Marie Manwaring | Physical Therapist | 730 Kimole Ln, Adrian, MI 49221-1463 | 2015-11-03 |
| 1144692278 | Emily Grace Hendrixq | Speech-Language Pathologist | 730 Kimole Ln, Adrian, MI 49221-1463 | 2015-10-28 |
| 1003287202 | Tiffany Keith | Occupational Therapist | 730 Kimole Ln, Adrian, MI 49221-1463 | 2015-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285116723 | Sandra Ann Harsh | Occupational Therapist | Total Rehab, 1136 Country Club, Adrian, MI 49221 | 2018-08-31 |
| 1588156178 | Chelsea Varney | Social Worker | 1040 Winter Street, Adrian, MI 49221 | 2018-05-31 |
| 1669974127 | Nicoletta Mary Bruno | Physical Therapy Assistant | 700 Lakeshire Trail, Adrian, MI 49221 | 2018-03-01 |
| 1871011403 | Evan Splan | Pharmacist | 1200 South Main St Suite A, Adrian, MI 49221 | 2017-09-04 |
| 1780104992 | Daniel Malcolm | Specialist/Technologist | 1325 Williams St., Adrian, MI 49221 | 2017-06-20 |
| 1639602881 | Robert Gargol | Pharmacist | 1535 W Maumee, Adrian, MI 49221 | 2017-04-05 |
| 1487196416 | Painless Dentistry V | Dentist | 160 N. Winter St., Adrian, MI 49221 | 2016-11-08 |
| 1487025227 | Michelle Lynn Ranta | Speech-Language Pathologist | 730 Kimole Ln., Adrian, MI 49221 | 2015-10-19 |
| 1376929109 | James Hamblin | Technician, Other | 1100 South Main St. Lot 139, Adrian, MI 49221 | 2015-08-04 |
| 1316320039 | Shirley Goodlock | Community/Behavioral Health | 3091 E. Carleton Rd, Adrian, MI 49221 | 2015-06-30 |
| Find all providers in zip 49221 | ||||
| Taxonomy Code | 332BN1400X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Nursing Facility Supplies |
| Definition to come... |
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| 1912247545 | Duell Medical Supply | Durable Medical Equipment & Medical Supplies | 22017 Wendell St, Clinton Twp, MI 48036-2654 | 2013-02-19 |
| 1609014414 | The Okunawos Corporation | Durable Medical Equipment & Medical Supplies | 6904 Faust Ave, Detroit, MI 48228-3495 | 2009-02-02 |
| 1750431276 | Fairlane Senior Care and Rehab Center, LLC | Durable Medical Equipment & Medical Supplies | 15750 Joy Rd, Detroit, MI 48228-2196 | 2007-01-10 |
| 1821148248 | Oakpointe Senior Care and Rehab Center, LLC | Durable Medical Equipment & Medical Supplies | 18901 Meyers Rd, Detroit, MI 48235-1366 | 2007-01-10 |
| 1598815912 | Project Compassion Health | Durable Medical Equipment & Medical Supplies | 33600 Luther Ln, Livonia, MI 48154-5477 | 2007-01-10 |
| 1992855316 | Evergreen Manor Senior Care Centre, LLC | Durable Medical Equipment & Medical Supplies | 111 Evergreen Rd, Springfield, MI 49037-7417 | 2007-01-10 |
| 1487704805 | Lakepointe Senior Care and Rehab Center, LLC | Durable Medical Equipment & Medical Supplies | 37700 Harper Ave, Clinton Twp, MI 48036-3021 | 2007-01-10 |
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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.