FMG WEST CITY PARK DRIVE MICHIGAN LLC (NPI# 1700284148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700284148 |
| Entity Type | Organization |
| Organization Name | FMG WEST CITY PARK DRIVE MICHIGAN LLC |
| Other Organization Name | TENDERCARE HEALTH CENTER - MUNISING |
| Practice Address |
300 City Park Dr Munising MI 49862-1130 |
| Practice Telephone | 9063872273 |
| Practice Fax Number | 9063873922 |
| Mailing Telephone | 9063872273 |
| Mailing Fax Number | 9063873922 |
| 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 Health Center - Munising | Doing Business As Name - Organization |
| Street Address |
300 CITY PARK DR |
| City | MUNISING |
| State | MI |
| Zip Code | 49862-1130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518902477 | Tendercare (michigan) Inc. | Skilled Nursing Facility | 300 City Park Dr, Munising, MI 49862-1130 | 2006-06-17 |
| 1497271795 | Munising Opco, LLC | Skilled Nursing Facility | 300 City Park Dr, Munising, MI 49862-1130 | 2017-08-17 |
| 1770025355 | Natalie Martine Stark | Occupational Therapist | 300 City Park Dr, Munising, MI 49862-1130 | 2016-11-14 |
| 1386016921 | Christopher Dahlstrom | Physical Therapy Assistant | 300 City Park Dr, Munising, MI 49862-1130 | 2015-10-22 |
| 1205218286 | Heather Palmer | Occupational Therapy Assistant | 300 City Park Dr, Munising, MI 49862-1130 | 2015-06-25 |
| 1073906368 | Lyndsay Berger | Occupational Therapist | 300 City Park Dr, Munising, MI 49862-1130 | 2015-03-10 |
| 1902237860 | Christian G. Kagey II | Physical Therapy Assistant | 300 City Park Dr, Munising, MI 49862-1130 | 2013-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619202447 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 413 Maple Street, Suite 2, Munising, MI 49862 | 2009-10-13 |
| 1639329287 | George Schultz | Pharmacist | 415 E. Hwy. M-28, Munising, MI 49862 | 2008-09-19 |
| 1376619973 | Victor Adam Patronik | Dentist | 109 East Superior, Munising, MI 49862 | 2006-11-27 |
| 1386650182 | M K Stores Inc | Durable Medical Equipment & Medical Supplies | 415 E M-28, Munising, MI 49862 | 2006-08-01 |
| 1952320509 | Michelle L Sharp | Psychologist | 601 West Superior Street, Munising, MI 49862 | 2006-07-18 |
| 1457309569 | Kurt Richard Olson | Family Medicine | 1504 Sand Point Road, Munising, MI 49862 | 2006-05-04 |
| 1518953934 | David M Gast | Physical Medicine & Rehabilitation | 1500 Sandpoint Rd, Munising, MI 49862 | 2005-09-21 |
| 1619441730 | Natalie Pianetto Buck | Dermatology | 1500 Sandpoint Rd, Munising, MI 49862 | 2019-01-11 |
| 1801107552 | Mercy Adeola Odueyungbo | Dermatology | 1500 Sandpoint Rd, Munising, MI 49862 | 2010-06-28 |
| 1154592491 | Paula Marie Ackerman | Dietitian, Registered | 1500 Sand Point Rd, Munising, MI 49862 | 2008-03-14 |
| Find all providers in zip 49862 | ||||
| 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 |
|---|---|---|---|---|
| 1518902477 | Tendercare (michigan) Inc. | Skilled Nursing Facility | 300 City Park Dr, Munising, MI 49862-1130 | 2006-06-17 |
| 1497271795 | Munising Opco, LLC | Skilled Nursing Facility | 300 City Park Dr, Munising, MI 49862-1130 | 2017-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538798731 | Windemere Park of Troy Operations LLC | Skilled Nursing Facility | 5990 N Adams Rd, Troy, MI 48098-2377 | 2020-04-08 |
| 1982235396 | Berg-lahser Snf, LLC | Skilled Nursing Facility | 21630 Hessel Ave # 1230, Detroit, MI 48219-1230 | 2020-02-04 |
| 1508497918 | Harmony Village Snf, LLC | Skilled Nursing Facility | 16588 Schaefer Hwy # 4249, Detroit, MI 48235-4249 | 2020-02-04 |
| 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 |
| 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.