Watermark Bronson Place, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WATERMARK BRONSON PLACE, LLC

Practice address

1451 Bronson Way
Kalamazoo, MI 49009-3306

Phone

(269) 382-3546

Fax

(269) 567-5998

NPI assigned

May 11, 2015

Organization subpart

No

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

Authorized official

Name

Greta Frazier

Title

Director

Phone

(520) 797-4000

Specialties & licenses 1

Addresses

Other names 1

• The Springs at the Fountains Doing business as

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1245618339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 W RUDASILL RD",
            "address_2": "ATTN: MEDICARE BILLING",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047800",
            "telephone_number": "520-797-4000",
            "fax_number": "520-797-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 BRONSON WAY",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490093306",
            "telephone_number": "269-382-3546",
            "fax_number": "269-567-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERMARK BRONSON PLACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "GRETA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "520-797-4000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Springs at the Fountains",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rodney Washington
• Trinity Washington
• Steven Kurt Waskiewicz, NP
• Mary Lynn Wassink, EDD
• Polina Waterman
• Ashanti Waters
• David C Waterson, DO
• Autumn Watkins
• Burgandy Watkins
• Shelbey Watson-Beasley, MSW

• Skilled Nursing Facility in Kalamazoo, MI
• Providers in Kalamazoo, 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 10, 2015; 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.