FMG EAST TINKHAM AVENUE MICHIGAN LLC (NPI# 1467850818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467850818 |
| Entity Type | Organization |
| Organization Name | FMG EAST TINKHAM AVENUE MICHIGAN LLC |
| Other Organization Name | TENDERCARE OF LUDINGTON |
| Practice Address |
1000 E Tinkham Ave Ludington MI 49431-1568 |
| Practice Telephone | 2318456291 |
| Practice Fax Number | 2318434121 |
| Mailing Telephone | 2318456291 |
| Mailing Fax Number | 2318434121 |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2014-12-23 |
| Authorized Official Name | DAVID KEATING (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 4149088058 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Tendercare of Ludington | Doing Business As Name - Organization |
| Street Address |
1000 E TINKHAM AVE |
| City | LUDINGTON |
| State | MI |
| Zip Code | 49431-1568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376544163 | Laura Lee Strong | Occupational Therapist | 1000 E Tinkham Ave, Ludington, MI 49431-1568 | 2005-08-03 |
| 1770075285 | Jennifer Briggs | Student in an Organized Health Care Education/Training Program | 1000 E Tinkham Ave, Ludington, MI 49431-1568 | 2018-05-31 |
| 1619493905 | Ludington Opco, LLC | Skilled Nursing Facility | 1000 E Tinkham Ave, Ludington, MI 49431-1568 | 2017-08-17 |
| 1669902698 | Mary-kathryn Nothaft | Occupational Therapist | 1000 E Tinkham Ave, Ludington, MI 49431-1568 | 2017-06-13 |
| 1730531344 | Jeanne Ann Kavanagh | Occupational Therapist | 1000 E Tinkham Ave, Ludington, MI 49431-1568 | 2016-07-07 |
| 1487015327 | Jessica Fiting | Occupational Therapist | 1000 E Tinkham Ave, Ludington, MI 49431-1568 | 2016-03-18 |
| 1124491295 | Tammy Lynn Hutson | Occupational Therapy Assistant | 1000 E Tinkham Ave, Ludington, MI 49431-1568 | 2015-11-11 |
| 1114319860 | Brenden Peterson | Speech-Language Pathologist | 1000 E Tinkham Ave, Ludington, MI 49431-1568 | 2015-03-03 |
| 1861883829 | Jack Leonard | Occupational Therapy Assistant | 1000 E Tinkham Ave, Ludington, MI 49431-1568 | 2015-02-12 |
| 1003213414 | Caylee Skvarenina | Physical Therapy Assistant | 1000 E Tinkham Ave, Ludington, MI 49431-1568 | 2014-12-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972006690 | Marti Miller | Physical Therapist | 5916 Iris Rd., Ludington, MI 49431 | 2018-03-09 |
| 1700258670 | Leslie Hahn Ezdebski | Registered Nurse | 318 River St., Suite B, Manistee, MI 49431 | 2015-10-30 |
| 1477888618 | Kathleen M Tooman | Orthotic Fitter | 901 E Tinkham Avenue, Ludington, MI 49431 | 2009-10-06 |
| 1790831592 | Roger Edgren Ostling | Social Worker | 1027 N Rath, Ludington, MI 49431 | 2007-01-25 |
| 1487734364 | Kathryn Jean Niemeyer | Nurse Practitioner | 5 Atkinson Drive, Suite #207, Ludington, MI 49431 | 2006-10-16 |
| 1609986405 | Vivek Thakore | Clinic/Center | 5511 West Us 10 Hwy, Ludington, MI 49431 | 2006-08-30 |
| 1295747756 | Barbara Sleder | Nurse Practitioner | 1 North Atkinson Dr, Ludington, MI 49431 | 2006-08-13 |
| 1083653893 | William L Ingle Dc | Chiropractor | 321 N Jebavy Drive, Ludington, MI 49431 | 2006-06-06 |
| 1366429706 | Andrew S Riemer | Ophthalmology | 5959 Lawndale St, Ludington, MI 49431 | 2005-12-28 |
| 1699240085 | Toby Wessel, Lmsw, Pllc | Social Worker | 612 Sherman Oaks Dr, Ludington, MI 49431 | 2018-10-11 |
| Find all providers in zip 49431 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051473 | Oakview Medical Care Facility | Skilled Nursing Facility | 1001 Diana St, Ludington, MI 49431-1908 | 2005-05-23 |
| 1619493905 | Ludington Opco, LLC | Skilled Nursing Facility | 1000 E Tinkham Ave, Ludington, MI 49431-1568 | 2017-08-17 |
| 1245287739 | Tendercare Select Properties Inc. | Skilled Nursing Facility | 1000 E Tinkham Ave, Ludington, MI 49431-1568 | 2006-05-28 |
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|---|---|---|---|---|
| 1538798731 | Windemere Park of Troy Operations LLC | Skilled Nursing Facility | 5990 N Adams Rd, Troy, MI 48098-2377 | 2020-04-08 |
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| 1336795244 | Ishpeming Nursing & Rehab Center, LLC | Skilled Nursing Facility | 435 Rd Pl, Ishpeming, MI 49849 | 2019-08-15 |
| 1669965299 | Wellbridge of Clarkston, LLC | Skilled Nursing Facility | 5655 Clarkston Road, Independence Township, MI 48348 | 2018-06-08 |
| 1104318112 | Wellbridge At Genesys Health Park, LLC | Skilled Nursing Facility | 3139 East Baldwin Road, Grand Blanc, MI 48439 | 2018-06-05 |
| 1427549955 | Mission Point of Detroit, LLC | Skilled Nursing Facility | 2102 Orleans, Detroit, MI 48207 | 2018-05-21 |
| 1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
| 1972092344 | Regency At Grand Haven, LLC | Skilled Nursing Facility | 17049 Comstock St, Grand Haven, MI 49417-7903 | 2018-05-01 |
| 1093214173 | Sana Nasir Inc. | Skilled Nursing Facility | 13840 King Rd, Riverview, MI 48193 | 2018-02-05 |
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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.