Stonegate Village Assisted Living

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

23D1102197 Issued in MI

Legal business name

STONEGATE VILLAGE ASSISTED LIVING

Doing business as

Stonegate Village Assisted Living - Laboratory

Practice address

70 W Argyle St
Sandusky, MI 48471-1081

Phone

(810) 648-9410

NPI assigned

Mar 31, 2010

Last updated

Aug 30, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Nobel

Title

President

Phone

(810) 648-9410

Specialties & licenses 1

Addresses

Other names 1

• Stonegate Village Assisted Living - Laboratory Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Stonegate Village Assisted Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Stongate Village Assisted Living

  • Assisted Living Facility
  • Sandusky, MI
  • NPI 1700113438
  NPD tax ID

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314662400000",
    "number": "1053636175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 W ARGYLE ST",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484711081",
            "telephone_number": "810-648-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 W ARGYLE ST",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484711081",
            "telephone_number": "810-648-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEGATE VILLAGE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-31",
        "last_updated": "2011-08-30",
        "status": "A",
        "authorized_official_last_name": "NOBEL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-648-9410",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": "23D1102197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stonegate Village Assisted Living - Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathy Ann Spiegel, LMSW
• Constance Stacer
• Patricia Stapley
• Faith Steadman
• Stephan Jankowski, O.D.
• Stongate Village Assisted Living
• Clarissa Stout
• Strickler Psychology, LLC
• Charlotte Ilene Sygit, RN
• Carly Szyska

• Clinical Medical Laboratory in Sandusky, MI
• Providers in Sandusky, MI by specialty
• Clinical Medical Laboratory in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.