PREMIER CARE ASSISTED LIVING (NPI# 1841790102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841790102 |
| Entity Type | Organization |
| Organization Name | PREMIER CARE ASSISTED LIVING |
| Practice Address |
1109 16th St Bay City MI 48708-7334 |
| Practice Telephone | 9892957641 |
| Practice Fax Number | 9894960147 |
| Mailing Telephone | 9892957641 |
| Mailing Fax Number | 9894960147 |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | DONZELL JUNIOR DAWKINS JR. (CEO) |
| Authorized Official Telephone | 9892957641 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | Agencies |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2204 S Farragut St, Bay City, MI 487088159 | 9892957641 | |
| 2487 Bala Dr, Bay City, MI 487088199 | 9892957641 | |
| 3963 Adela Ct, Bay City, MI 487062103 | 9892957641 | |
| 5189 S M-33, Alger, MI 48610 | 9892957641 | |
| 5205 S M 33, Alger, MI 486109440 | 9892957641 |
| Street Address |
1109 16TH ST |
| City | BAY CITY |
| State | MI |
| Zip Code | 48708-7334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497370399 | Francine Marie Dixon | Pharmacist | 1800 Columbus Ave Ste P, Bay City, MI 48708 | 2020-06-16 |
| 1417578261 | Kassie L Pagliughi | Counselor | 1100 N. Grant Street, Bay City, MI 48708 | 2020-05-04 |
| 1346711694 | Connie Lynn Mossner | Physical Therapy Assistant | 2112 16 Th Street, Ste 7, Bay City, MI 48708 | 2018-12-16 |
| 1275003766 | Great Lakes Bay Health Centers | Clinic/Center | 1821 Mckinley St, Bay City, MI 48708 | 2018-11-28 |
| 1891204970 | Ronald Lavern Polhill Jr. | Registered Nurse | 701 South Lincoln St., Bay City, MI 48708 | 2017-09-21 |
| 1447610001 | Jeffrey M Hunt | Nurse Practitioner | 714 S. Trumbull St., Bay City, MI 48708 | 2016-02-25 |
| 1457762437 | Asim Malik | Emergency Medicine | 1900 Columbus Ave # B203, Bay City, MI 48708 | 2014-05-13 |
| 1538584768 | Sarah R. Vanparis | Registered Nurse | 1010 N. Madison, Bay City, MI 48708 | 2014-02-25 |
| 1033549316 | Melissa Rood | Case Manager/Care Coordinator | 1001 Mulholland, Bay City, MI 48708 | 2013-11-22 |
| 1528498953 | Shannon Rae Ogg | Social Worker | 2110 16th St Ste 7, Bay City, MI 48708 | 2013-11-21 |
| Find all providers in zip 48708 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474576 | Maryann Michelle Lavender | Foster Care Agency | 5633 Embassy St, Kalamazoo, MI 49009-6499 | 2020-10-13 |
| 1417560269 | Fountain of Love | Foster Care Agency | 2140 Dickerson St, Detroit, MI 48215-2640 | 2020-08-30 |
| 1376165076 | Haven Adult Foster Care Ltd | Foster Care Agency | 73600 Church St, Armada, MI 48005-4749 | 2020-05-15 |
| 1104448018 | Jody Elizabeth Josephson | Foster Care Agency | 7415 Dexter Pinckney Rd, Dexter, MI 48130-7505 | 2020-05-13 |
| 1639701600 | Colonial Park Adult Assisted Living | Foster Care Agency | 1050 W Colonial Park Dr, Grand Ledge, MI 48837-2215 | 2020-02-07 |
| 1972135200 | Absolute Care LLC | Foster Care Agency | 5847 Naneva Ct, West Bloomfield, MI 48322-2517 | 2020-02-05 |
| 1699315556 | Reliance Manor LLC | Foster Care Agency | 35156 Ecorse Rd, Romulus, MI 48174-1640 | 2020-01-08 |
| 1215573217 | Byerly Enterprises, LLC | Foster Care Agency | 8616 Hidden Acre Ct, Clarkston, MI 48348-2895 | 2019-11-25 |
| 1235789553 | Dorthie Bolden | Foster Care Agency | 7027 Baseline Rd, South Haven, MI 49090-8338 | 2019-09-18 |
| 1457909509 | Sallie Mae Emert | Foster Care Agency | 2850 W Leinaar Rd, Delton, MI 49046-9567 | 2019-09-02 |
| 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.