Country Place Senior Care

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

AM370085652 Issued in MI

Legal business name

COUNTRY PLACE SENIOR CARE

Practice address

1805 E Jordan Rd
Mt Pleasant, MI 48858-9269

Phone

(989) 773-6320

Fax

(989) 773-1784

NPI assigned

May 31, 2017

Organization subpart

No

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

Authorized official

Name

Jennia Mari Woodcock

Title

Administrator

Phone

(989) 444-1597

Specialties & licenses 1

Addresses

Other names 1

• Jennia Woodocock Doing business as

Locations

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1093243263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805",
            "address_2": "E. JORDAN RD",
            "city": "MT. PLEASANT",
            "state": "MI",
            "postal_code": "48858",
            "telephone_number": "989-773-6320",
            "fax_number": "989-773-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 E JORDAN RD",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488589269",
            "telephone_number": "989-773-6320",
            "fax_number": "989-773-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY PLACE SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WOODCOCK",
        "authorized_official_first_name": "JENNIA",
        "authorized_official_middle_name": "MARI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "989-444-1597"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AM370085652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jennia Woodocock",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cornerstone Caregiving East LLC
• Chena Coss I
• Tasia Coston
• Andrea Paige Cotter, LLMSW
• Counseling Connections of Central Michigan
• Erika Nmi Courlander, MA CCC-SLP
• Patrick Joseph Cousineau, RSW
• Sarah Cowell
• Benjamin Andrew Cox, D.O.
• Craig Downer DDS PLC

• Adult Care Home Facility in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.