VILLA MARIA RETIREMENT (NPI# 1568897684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568897684 |
| Entity Type | Organization |
| Organization Name | VILLA MARIA RETIREMENT |
| Practice Address |
1305 Walker Ave Nw Grand Rapids MI 49504-4098 |
| Practice Telephone | 6164599701 |
| Practice Fax Number | 6167768402 |
| Mailing Telephone | 6164599701 |
| Mailing Fax Number | 6167768402 |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2013-09-09 |
| Authorized Official Name | MR. DENNIS MEADE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6164599701 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | Managed Care Organizations |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | VILLA MARIA RETIREMENT CMNTY | 1305 Walker Ave Nw Ofc, Grand Rapids, MI 49504-4000 |
| Street Address |
1305 WALKER AVE NW |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49504-4098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356678080 | Steven Eric Brodnicki | Physical Therapist | 1305 Walker Ave Nw, Grand Rapids, MI 49504-4098 | 2009-11-18 |
| 1235608639 | Susan Dood | Occupational Therapist | 1305 Walker Ave Nw, Grand Rapids, MI 49504-4098 | 2018-11-15 |
| 1053785139 | Hilary Parlette | Speech-Language Pathologist | 1305 Walker Ave Nw, Grand Rapids, MI 49504 | 2015-11-30 |
| 1144607284 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 1305 Walker Ave Nw, C/o Villa Maria Retirement Community, Grand Rapids, MI 49504-4098 | 2015-04-28 |
| 1922415876 | Chelsea Diane Bruinsma | Speech-Language Pathologist | 1305 Walker Ave Nw, Grand Rapids, MI 49504-4098 | 2014-07-11 |
| 1346665866 | Marla Rose | Physical Therapy Assistant | 1305 Walker Ave Nw, Grand Rapids, MI 49504-4098 | 2014-02-20 |
| 1386992253 | Oksana Stickel | Physical Therapist | 1305 Walker Ave Nw, Grand Rapids, MI 49504-4098 | 2012-08-26 |
| 1558699884 | Laurie Lafeldt | Occupational Therapist | 1305 Walker Ave Nw, Grand Rapids, MI 49504-4098 | 2009-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477049518 | Mark Contreras | Nurse Practitioner | 72 Sheldon Blvd Se # 130, Grand Rapids, MI 49504 | 2018-07-02 |
| 1205338753 | Kelli Marie Selby | Physical Therapist | 235 Wealthy, Grand Rapids, MI 49504 | 2018-03-01 |
| 1871094474 | Kymiri Lyn Coles | Physical Therapist | 1000 Edison Ave Ne, Grand Rapids, MI 49504 | 2018-02-28 |
| 1881132744 | Courtney Glinka | Behavior Technician | 1149 Butterworth St Sw, Grand Rapids, MI 49504 | 2017-02-10 |
| 1649650300 | Alyson Renee Vela | Social Worker | 1256 Walker Ave Ne, Grand Rapids, MI 49504 | 2015-06-08 |
| 1508258500 | Grand Rapids Natural Health | Nutritionist | 638 Fulton Street W., Grand Rapids, MI 49504 | 2015-02-27 |
| 1144622598 | Robert Mclaren | Physical Therapist | 2807 Lake Michigan Dr Nw Ste 1, Grand Rapids, MI 49504 | 2014-09-17 |
| 1972854339 | Beth Ellen Gregory | Registered Nurse | 1956 Walker Avenue Northwest, Grand Rapids, MI 49504 | 2012-09-26 |
| 1588914147 | Unlimited Alternatives | Community/Behavioral Health | 282 Leonard, Grand Rapids, MI 49504 | 2012-09-11 |
| 1386912178 | Michael Allen Crawford | Pharmacist | 800 West Leonard Nw, Grand Rapids, MI 49504 | 2011-12-07 |
| Find all providers in zip 49504 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "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. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073137592 | Rehabpros LLC | Preferred Provider Organization | 6757 Cascade Rd Se # 136, Grand Rapids, MI 49546-6849 | 2020-06-01 |
| 1942750740 | Hope Network | Preferred Provider Organization | 1127 Wealthy St Se, #3, Grand Rapids, MI 49506-1598 | 2016-10-05 |
| 1861708992 | Itasca Chiropractic Center, P.C. | Preferred Provider Organization | 801 Ne 4th St, Grand Rapids, MN 55744-3106 | 2010-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013536150 | Najai R Beck | Preferred Provider Organization | 6333 Colorado St, Romulus, MI 48174-1819 | 2020-04-09 |
| 1174161178 | Nile Construction LLC | Preferred Provider Organization | 6729 Pelham Rd, Allen Park, MI 48101-2340 | 2019-12-20 |
| 1346723608 | Home Health Pro, LLC | Preferred Provider Organization | 30200 Telegraph Rd Ste 131, Bingham Farms, MI 48025-4577 | 2018-09-12 |
| 1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
| 1104362938 | Maternal Instinct Doulas | Preferred Provider Organization | 4899 Underwood St, Detroit, MI 48204-2126 | 2017-01-18 |
| 1760830368 | Michigan Health Preference LLC | Preferred Provider Organization | 16000 W 9 Mile Rd Ste 303, Southfield, MI 48075 | 2016-05-25 |
| 1659727303 | Raymond L. Augenstein | Preferred Provider Organization | 11682 E Gates Rd, Riverdale, MI 48877-9566 | 2016-05-12 |
| 1154777183 | Desiree Santiago | Preferred Provider Organization | 517 Graten St, Birmingham, MI 48009-6519 | 2016-05-09 |
| 1861853939 | Complete Care and Physical Therapy LLC | Preferred Provider Organization | 21417 Seminole St, Southfield, MI 48033-5056 | 2016-03-16 |
| 1881062941 | Ford Dental Group | Preferred Provider Organization | 5601 Schaefer Rd Ste 101, Dearborn, MI 48126-4713 | 2015-09-07 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49504 |
Please comment or provide details below to improve the information on VILLA MARIA RETIREMENT.
| 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.