Bush Creek Manor

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

A610073721 Issued in MI

Legal business name

BUSH CREEK MANOR

Practice address

1023 Alice St
Whitehall, MI 49461-1421

Phone

(231) 893-0322

NPI assigned

Aug 28, 2015

Last updated

Aug 28, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Wendy Lee Bushard, R.N.

Title

Owner/Administrator

Phone

(231) 893-0322

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440720000000",
    "number": "1467829028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 ALICE ST",
            "city": "WHITEHALL",
            "state": "MI",
            "postal_code": "494611421",
            "telephone_number": "231-893-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 ALICE ST",
            "city": "WHITEHALL",
            "state": "MI",
            "postal_code": "494611421",
            "telephone_number": "231-893-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUSH CREEK MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-28",
        "last_updated": "2015-08-28",
        "status": "A",
        "authorized_official_last_name": "BUSHARD",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "231-893-0322",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "A610073721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deidre Ann Briegel, RPH
• Eric James Briggs, PHARM D
• Melissa Jo Briggs
• Randy D Brown, DC
• Ryan Todd Brunworth, DDS
• Carmen Danielle Carlson, LPTA/DOR
• Michael Alan Cihak
• Compass Pointe Medical PLLC
• Comprehensive Professional Services, Inc.
• Robin Dawn Cook, MA, LPC

• Assisted Living Facility in Whitehall, MI
• Providers in Whitehall, 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 Aug 28, 2015; 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.