Dockerty Health Care Services Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

DOCKERTY HEALTH CARE SERVICES INC

Practice address

8850 Red Arrow Hwy
Bridgman, MI 49106

Phone

(269) 465-7600

Fax

(269) 465-6463

NPI assigned

May 29, 2007

Organization subpart

No

Name

Timothy Mark Dockerty

Title

Director

Phone

(269) 465-7600

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

• Dockerty Health Care Services Inc.

  • Assisted Living Facility
  • Coloma, MI
  • NPI 1518342062
  NPD tax ID
• Dockerty Health Care Services Inc.

  • Assisted Living Facility
  • Niles, MI
  • NPI 1710362264
  NPD tax ID

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

Dockerty Health Care Services Inc (3 organizations share this tax ID)

• Woodland Terrace Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164623385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8850 RED ARROW HWY",
            "address_2": "PO BOX 370",
            "city": "BRIDGMAN",
            "state": "MI",
            "postal_code": "49106",
            "telephone_number": "269-465-7600",
            "fax_number": "269-465-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8850 RED ARROW HWY",
            "city": "BRIDGMAN",
            "state": "MI",
            "postal_code": "49106",
            "telephone_number": "269-465-7600",
            "fax_number": "269-465-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCKERTY HEALTH CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOCKERTY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "269-465-7600"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodland Terrace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Joseph Carbonell, DDS
• Shelly J Carter
• Lisa J Christy, D.D.S.
• Destiny Cole
• Country Manor Care Center
• Dr. Bresler and Asso PC
• Devin Emens
• Lisa Folsom, PHYSICAL THERAPY
• John Harris Foti, D.C.
• Mary E Good, PA-C

• All providers in Bridgman, MI
• Assisted Living Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.