Camp Skywild

Primary specialty

Respite Care CampTaxonomy code 385HR2050X

Legal business name

CAMP SKYWILD

Practice address

3269 Horseshoe Lake Rd
West Branch, MI 48661-9414

Phone

(989) 345-2630

NPI assigned

Mar 4, 2024

Organization subpart

No

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

Authorized official

Name

Kristin McMaster

Title

Executive Director

Phone

(734) 436-1453

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1447017652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1663 SHEFFIELD DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481983670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3269 HORSESHOE LAKE RD",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619414",
            "telephone_number": "989-345-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMP SKYWILD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "MCMASTER",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "734-436-1453"
    },
    "taxonomies": [
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly L Bulow, OD
• Dawn Burke-Allie
• Michael E Burkley, D.O.
• David Bryan Butcher, MD
• Brianna Erin Cadigan, DO
• Carelinc Medical Equipment & Supply Co. LLC
• Dale Carper
• Lauren Carry
• Stephanie Carvey, PHARMD
• Central Express Clinic PLLC

• Respite Care in West Branch, MI
• Providers in West Branch, MI by specialty
• Respite Care in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.