Culver Senior Living, Inc.

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

AL280303758 Issued in MI

Legal business name

CULVER SENIOR LIVING, INC.

Practice address

1745 N West Silver Lake Rd
Traverse City, MI 49685

Phone

(231) 633-5840

Fax

(231) 943-9470

NPI assigned

Feb 2, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Trina Jewett

Title

President

Phone

(231) 633-5840

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1013307867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 N WEST SILVER LAKE RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "49685",
            "telephone_number": "231-633-5840",
            "fax_number": "231-943-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 N WEST SILVER LAKE RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "49685",
            "telephone_number": "231-633-5840",
            "fax_number": "231-943-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULVER SENIOR LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "JEWETT",
        "authorized_official_first_name": "TRINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-633-5840"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "MI",
            "license": "AL280303758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sherry Cunningham
• Maria I Cupp, PA-C
• Naomi Elaine Currie

• Foster Care Agency in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Foster Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.