Drake Wood Manor

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

DRAKE WOOD MANOR

Practice address

4353 W Walton Blvd
Waterford, MI 48329-4071

Phone

(248) 674-2658

Fax

(248) 674-1919

NPI assigned

Oct 24, 2021

Organization subpart

No

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

Authorized official

Name

Sunil R Bhattad

Title

Administrator

Phone

(248) 797-8519

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1635033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635033600000",
    "number": "1326702606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19387 ISABELLA DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480445422",
            "telephone_number": "248-674-2658",
            "fax_number": "248-674-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4353 W WALTON BLVD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483294071",
            "telephone_number": "248-674-2658",
            "fax_number": "248-674-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAKE WOOD MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-24",
        "last_updated": "2021-10-24",
        "certification_date": "2021-10-24",
        "status": "A",
        "authorized_official_last_name": "BHATTAD",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-797-8519"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dr. Ronda Marshall, D.C., L.L.C.
• Timothy Drinkard, DO
• Shanna Lynn Driscoll, RN, BSN
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• Jeffrey Scott Dudovitz, O.D.
• Tamara Duff, NP-C

• Assisted Living Facility in Waterford, MI
• Providers in Waterford, MI by specialty
• Assisted Living Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2021; 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.