THE MEADOWS SPECIALIZED RESIDENTIAL PROGRAM (NPI# 1881961498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881961498 |
| Entity Type | Organization |
| Organization Name | THE MEADOWS SPECIALIZED RESIDENTIAL PROGRAM |
| Practice Address |
55377 Walterspaugh Rd Mendon MI 49072-9545 |
| Practice Telephone | 2694961033 |
| Mailing Telephone | 2694961033 |
| Enumeration Date | 2011-11-27 |
| Last Update Date | 2011-11-27 |
| Authorized Official Name | MRS. GINA MARIE KELLY (OWNER/HOME ADMINISTRATOR) |
| Authorized Official Telephone | 2694961033 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | AS750239107 | MI | Residential Treatment Facilities |
| Street Address |
55377 WALTERSPAUGH RD |
| City | MENDON |
| State | MI |
| Zip Code | 49072-9545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336233030 | Michael John Carl | Dentist | 435 E. Main St., Mendon, MI 49072 | 2006-10-03 |
| 1699074153 | Lindsey Eickhoff | Physical Therapy Assistant | 309 W Main St, Mendon, MI 49072-8743 | 2011-03-23 |
| 1891270278 | Amanda Nichole Babcock | Student in an Organized Health Care Education/Training Program | 23260 Van Resort Dr, Mendon, MI 49072-9596 | 2018-10-01 |
| 1043824519 | Linda Hershberger | Licensed Practical Nurse | 219 Lane St, Mendon, MI 49072-9630 | 2020-09-02 |
| 1871029223 | Michael J. Carl, D.d.s., P.C. | Dentist | 26288 M 60, Mendon, MI 49072-9702 | 2017-05-04 |
| 1841565249 | Danielle Lynn Sackrider | Social Worker | 52262 Nottawa Rd, Mendon, MI 49072-9707 | 2012-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225637440 | Mina F Hanna | Pharmacist | 60 Blackstone St, Mendon, MA 01756-1305 | 2020-10-19 |
| 1043824519 | Linda Hershberger | Licensed Practical Nurse | 219 Lane St, Mendon, MI 49072-9630 | 2020-09-02 |
| 1841814159 | Margaret Kimberly Noyes | Social Worker | 42 Kinsley Ln, Mendon, MA 01756-1236 | 2020-06-02 |
| 1710522784 | Greta Von Der Luft | Physical Therapist | 8 Davenport Rd, Mendon, MA 01756-1083 | 2019-11-13 |
| 1639720782 | John Feenick | Specialist/Technologist | 466 Journeys End, Mendon, VT 05701-6703 | 2019-09-20 |
| 1174088777 | William Lasley Davis | Counselor | 2365 S 5900 W, Mendon, UT 84325-9743 | 2019-02-07 |
| 1891270278 | Amanda Nichole Babcock | Student in an Organized Health Care Education/Training Program | 23260 Van Resort Dr, Mendon, MI 49072-9596 | 2018-10-01 |
| 1750861050 | Teresa Keane Hardman | Counselor | 165 W 100 N, Mendon, UT 84325 | 2018-08-16 |
| 1871029223 | Michael J. Carl, D.d.s., P.C. | Dentist | 26288 M 60, Mendon, MI 49072-9702 | 2017-05-04 |
| 1316484348 | Keven Hagen | Chiropractor | 10 Assembly Dr Ste 105, Mendon, NY 14506-9604 | 2017-01-29 |
| Find all providers in MENDON | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619079779 | Avalon Hills Health Care, Inc | Psychiatric Residential Treatment Facility | 7852 W 600 N, Mendon, UT 84325-9706 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598120925 | Faith's Place LLC | Psychiatric Residential Treatment Facility | 16725 Blackstone Street, Detroit, MI 48219 | 2015-12-30 |
| 1164837431 | Common Ground | Psychiatric Residential Treatment Facility | 1200 Telegraph Rd, Pontiac, MI 48341 | 2014-06-25 |
| 1104249374 | Common Ground | Psychiatric Residential Treatment Facility | 1410 Telegraph Road, Pontiac, MI 48332 | 2014-01-24 |
| 1164753828 | Is-care Cls, Inc. | Psychiatric Residential Treatment Facility | 1777 N Rademacher St, Detroit, MI 48209-2049 | 2010-01-20 |
| 1518129295 | Advance Care Incorporated | Psychiatric Residential Treatment Facility | 34932 Ecorse Rd, Romulus, MI 48174-1642 | 2008-06-25 |
| 1356511372 | Detroit Behavioral Institute, LLC | Psychiatric Residential Treatment Facility | 3500 John R St, Detroit, MI 48201-2402 | 2008-03-05 |
| 1245375823 | D & M Consultants, Inc | Psychiatric Residential Treatment Facility | 25071 West Ten Mile Road, Southfield, MI 48033 | 2007-02-21 |
| 1578582672 | Ccs/lansing, Inc | Psychiatric Residential Treatment Facility | 101 W Townsend Rd, Saint Johns, MI 48879-9200 | 2006-07-19 |
| 1154781615 | Detroit Vamc | Psychiatric Residential Treatment Facility | 4777 E Outer Dr, Detroit, MI 48234-3241 | 2016-02-26 |
| 1710351598 | Eagle Village | Psychiatric Residential Treatment Facility | 4507 170th Ave, Hersey, MI 49639-8785 | 2015-11-17 |
| 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.