Active NPI
Tendercare Michigan, Inc.
Doing business as Rogers City Rehabilitation Hospital
- Physical Medicine & Rehabilitation Physician
- Rogers City, MI
National Provider Identifier
1306014477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 710030
- Legal business name
- TENDERCARE MICHIGAN, INC.
- Doing business as
- Rogers City Rehabilitation Hospital
- Practice address
- 555 N Bradley Hwy
Suite C
Rogers City, MI 49779-1539 - Phone
- (989) 734-7575
- Fax
- (989) 734-7648
- NPI assigned
- Feb 12, 2008
- Last updated
- Feb 15, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Joyal Pavey
- Title
- Exeutive Director
- Phone
- (989) 734-7948
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 710030 | MI | Primary |
Addresses
Primary practice location
555 N Bradley Hwy
Suite C
Rogers City, MI 49779-1539
Mailing address
555 N Bradley Hwy
Suite C
Rogers City, MI 49779-1539
Phone (989) 734-7575
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 303205745 | Medicaid | MI | |
| 00255 | Other | MI | BLUE CROSS BLUE SHIELD |
| 70-0-G1-1010-0 | Other | MI | BLUE CROSS BLUE SHIELD |
Other names 1
- Rogers City Rehabilitation Hospital
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Surgical Physician Assistant
- Portland, OR
- NPI 1558763037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297728000000",
"number": "1306014477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 N BRADLEY HWY",
"address_2": "SUITE C",
"city": "ROGERS CITY",
"state": "MI",
"postal_code": "497791539",
"telephone_number": "989-734-7575",
"fax_number": "989-734-7648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 N BRADLEY HWY",
"address_2": "SUITE C",
"city": "ROGERS CITY",
"state": "MI",
"postal_code": "497791539",
"telephone_number": "989-734-7575",
"fax_number": "989-734-7648"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TENDERCARE MICHIGAN, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-12",
"last_updated": "2011-02-15",
"status": "A",
"authorized_official_last_name": "PAVEY",
"authorized_official_first_name": "JOYAL",
"authorized_official_title_or_position": "EXEUTIVE DIRECTOR",
"authorized_official_telephone_number": "989-734-7948",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "MI",
"license": "710030",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "303205745",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00255",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "70-0-G1-1010-0",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rogers City Rehabilitation Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rogers City, MI
- Amber Smolinski
- Ellen Sue Stewart, LPTA
- Ann L Strzelecki, PTA
- Tendercare (Michigan) Inc. (Tendercare Health Center - Rogers City)
- Tendercare Michigan Inc (Rogers City Rehabilitation Hospital)
- Thunder Bay Community Health Service, Inc (Rogers City Elementary School)
- Thunder Bay Community Health Service, Inc
- Thunder Bay Community Health Service, Inc (Thunder Bay Pharmacy Rogers City)
- Thunder Bay Community Health Service, Inc (Rogers City Middle - High School)
- Thunder Bay Community Health Service, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.