St. Joseph Community Co-Operative, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ST. JOSEPH COMMUNITY CO-OPERATIVE, INC.

Practice address

307 W Chicago Rd Ste 210
Sturgis, MI 49091-1675

Phone

(269) 659-4525

Fax

(269) 659-4528

NPI assigned

Oct 7, 2017

Last updated

Aug 26, 2024By 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

Miss Sheri Krystine Boughton

Title

Executive Director

Phone

(269) 659-4525

Specialties & licenses 4

Addresses

Other names 1

• St Joe Co-op Other name

Locations

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

{
    "created_epoch": "1507334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1467962167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 W CHICAGO RD STE 210",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490911675",
            "telephone_number": "269-659-4525",
            "fax_number": "269-659-4528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 W CHICAGO RD STE 210",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490911675",
            "telephone_number": "269-659-4525",
            "fax_number": "269-659-4528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH COMMUNITY CO-OPERATIVE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-07",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "BOUGHTON",
        "authorized_official_first_name": "SHERI",
        "authorized_official_middle_name": "KRYSTINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "269-659-4525",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Joe Co-op",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Roopa Singh
• Kathrine Marie Smith
• Keveona Smith
• Lauren Marie Smith, BS
• Sara Marie Smith, MA, LLMFT
• John A Stahl, PA
• Delores Jean Stanley, CNM
• Antonyo Lafonzo Stevens
• Claire Stickler, DDS
• Sturgis Emergency Physicians PLLC

• Community/Behavioral Health Agency in Sturgis, MI
• Providers in Sturgis, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.