Gladwin Pines Operating, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GLADWIN PINES OPERATING, LLC

Practice address

449 Quarter St
Gladwin, MI 48624-1918

Phone

(989) 426-3430

NPI assigned

Jun 8, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Brian Doyle Thompson

Title

Chief Financial Officer

Phone

(989) 588-3547

Specialties & licenses 1

Addresses

Other names 1

• Gladwin Pines Nursing and Rehabilitation Center Doing business as

Tax ID family

Gladwin Pines Nursing and Rehabilitation Center2 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.

• Gladwin Pines Operating, LLC

  • Skilled Nursing Facility
  • Gladwin, MI
  • NPI 1396103180
  NPD tax ID

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1184073397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2532 W CADILLAC DR",
            "address_2": "P.O. BOX 579",
            "city": "FARWELL",
            "state": "MI",
            "postal_code": "486229757",
            "telephone_number": "989-588-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 QUARTER ST",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486241918",
            "telephone_number": "989-426-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADWIN PINES OPERATING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "DOYLE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "989-588-3547",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gladwin Pines Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gladwin Family Care PLLC
• Gladwin Family Chiropractic PC
• Gladwin Family Pharmacy LLC
• Gladwin Family Practice
• Gladwin Optometric Center Inc
• Gladwin Pines Operating, LLC
• Gladwin Urgent Care PC
• Daniel Goodin, MD
• Taylor Gorski
• Great Lakes Medical PC

• Skilled Nursing Facility in Gladwin, MI
• Providers in Gladwin, MI by specialty
• Skilled Nursing Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.