Organization Active NPI

Tendercare Michigan, Inc.

Doing business as Rogers City Rehabilitation Hospital

  • Physical Medicine & Rehabilitation Physician
  • Rogers City, MI
National Provider Identifier
1306014477
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
710030 Issued in MI
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
303205745MedicaidMI
00255OtherMIBLUE CROSS BLUE SHIELD
70-0-G1-1010-0OtherMIBLUE CROSS BLUE SHIELD

Other names 1

  • Rogers City Rehabilitation Hospital Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.