Skaggs Assisted Living, LLC.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SKAGGS ASSISTED LIVING, LLC.

Doing business as

Southern Michigan Integrated Healthcare

Practice address

285 McMahon Dr
Bronson, MI 49028-9434

Phone

(517) 617-4058

Fax

(517) 858-1062

NPI assigned

Jul 13, 2022

Organization subpart

Yes

Parent organization

SKAGGS ASSISTED LIVING, LLC.As reported in NPPES

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

Authorized official

Name

Mrs. Julia Sue Skaggs, BSN,RN.

Title

Administrator

Phone

(517) 617-4058

Specialties & licenses 4

Addresses

Other names 1

• Southern Michigan Integrated Healthcare Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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

CLIA laboratory certificates

Part of

Skaggs Assisted Living LLC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angela A Joseph, MD

  • Internal Medicine Physician
  • Flint, MI
  • NPI 1336254945
  Medicare reassignment NPD

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1205560315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 MCMAHON DR",
            "city": "BRONSON",
            "state": "MI",
            "postal_code": "490289434",
            "telephone_number": "517-617-4058",
            "fax_number": "517-858-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 MCMAHON DR",
            "city": "BRONSON",
            "state": "MI",
            "postal_code": "490289434",
            "telephone_number": "517-617-4058",
            "fax_number": "517-858-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKAGGS ASSISTED LIVING, LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SKAGGS ASSISTED LIVING, LLC.",
        "enumeration_date": "2022-07-13",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "SKAGGS",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "517-617-4058",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN,RN."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jsskaggs63@gmail.com",
            "affiliation": "N",
            "endpointDescription": "jsskaggs63@gmail.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "285 McMahon Dr",
            "city": "Bronson",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490289434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Southern Michigan Integrated Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southern Michigan Integrated Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Molly Marie Parshall
• John Theodore Polzin, DDS
• Quest Health Systems IV, PLLC (HealthQuest of Bronson)
• Chante Rebecca Joe Shine
• Allison Nicole Sikorski
• Ronald Temple, D.C.
• Penny Sue Wallman

• Primary Care Clinic/Center in Bronson, MI
• Providers in Bronson, MI by specialty
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.