Engedi Homes, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ENGEDI HOMES, INC.

Practice address

30744 White Oak Dr
Bangor, MI 49013-9521

Phone

(269) 217-9359

NPI assigned

Jun 26, 2017

Organization subpart

No

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

Authorized official

Name

Lisa Springett

Title

Owner

Phone

(269) 217-9359

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498435200000",
    "number": "1356861868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30744 WHITE OAK DR",
            "city": "BANGOR",
            "state": "MI",
            "postal_code": "490139521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30744 WHITE OAK DR",
            "city": "BANGOR",
            "state": "MI",
            "postal_code": "490139521",
            "telephone_number": "269-217-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGEDI HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-26",
        "last_updated": "2017-06-26",
        "status": "A",
        "authorized_official_last_name": "SPRINGETT",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-217-9359"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Michelle Carr, RDH
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• Craig M. Herrmann, D.D.S.,P.L.C
• Caralyn Dehaan, D.O.
• Terryl Ensign, R.PH
• Rebekah Lee Fatzinger, LLP, LMSW
• Leroy Freeman Jr., LLBSW
• Jennifer N Fuller
• Araceli Garcia, CHW

• Assisted Living Facility in Bangor, MI
• Providers in Bangor, 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 Jun 26, 2017; 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.