Encore McHenry LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ENCORE MCHENRY LLC

Practice address

3033 N Squirrel Rd
Auburn Hills, MI 48326-3927

Phone

(248) 340-9296

NPI assigned

Dec 5, 2023

Last updated

Dec 5, 2023By 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. Roth Weaver

Title

Coo

Phone

(312) 462-4462

Specialties & licenses 1

Addresses

Tax ID family

Courtyard at Fremont2 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.

• Encore McHenry LLC

  dba Courtyard at Fremont

  • Assisted Living Facility
  • Fremont, OH
  • NPI 1104664408
  NPD tax ID

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1073380549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 W MONROE ST STE 710",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606064702",
            "telephone_number": "312-462-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 N SQUIRREL RD",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483263927",
            "telephone_number": "248-340-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCORE MCHENRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "ROTH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "312-462-4462",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diesha Michelle Ellis
• Julia Madeline Ellison
• Jill Ann Ellsasser, P.A.C
• Kristin Elwell
• Leslie T Emmert-Buck, M.D., PHD
• Kevin Eng
• Jennifer Erb
• Marley Evans
• Sarah Laverne Evans, LLBSW
• Evernorth Direct Health LLC

• Assisted Living Facility in Auburn Hills, MI
• Providers in Auburn Hills, MI by specialty
• Assisted Living Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.