Tendercare Michigan Inc

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

Legal business name

TENDERCARE MICHIGAN INC

Doing business as

Rogers City Rehabilitation Hospital

Practice address

555 N Bradley Hwy
Suite C
Rogers City, MI 49779-1539

Phone

(989) 734-7948

Fax

(989) 734-7648

NPI assigned

Jul 29, 2005

Last updated

May 18, 2010By 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. Joyal Pavey

Title

Executive Director

Phone

(989) 734-7545

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Rogers City Rehabilitation Hospital Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487654547. Details of each certification follow.

• CCN 233029 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 233029

Legal name

ROGERS CITY REHABILITATION HOSPITAL

Certification status

Terminated Voluntary: merger or closure, Nov 1, 2013

Provider type (POS)

Hospital – Rehabilitation

Participating since

Aug 31, 1995

Last certification

Sep 1, 1995

Beds

36

Ownership / control type

Private (not for profit)

Facility address

555 N Bradley Highway
Rogers City, MI 49779

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1487654547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N BRADLEY HWY",
            "address_2": "SUITE C",
            "city": "ROGERS CITY",
            "state": "MI",
            "postal_code": "497791539",
            "telephone_number": "989-734-7948",
            "fax_number": "989-734-7648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N BRADLEY HWY",
            "address_2": "SUITE C",
            "city": "ROGERS CITY",
            "state": "MI",
            "postal_code": "497791539",
            "telephone_number": "989-734-7948",
            "fax_number": "989-734-7648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDERCARE MICHIGAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-29",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "PAVEY",
        "authorized_official_first_name": "JOYAL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "989-734-7545",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00255",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30-3205745",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rogers City Rehabilitation Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathleen A Slown, PT
• Amber Smolinski
• Ellen Sue Stewart, LPTA
• Ann L Strzelecki, PTA
• Tendercare (Michigan) Inc. (Tendercare Health Center - Rogers City)
• Tendercare Michigan, Inc. (Rogers City Rehabilitation Hospital)
• Thunder Bay Community Health Service, Inc (Rogers City Elementary School)
• Thunder Bay Community Health Service, Inc
• Thunder Bay Community Health Service, Inc (Thunder Bay Pharmacy Rogers City)
• Thunder Bay Community Health Service, Inc (Rogers City Middle - High School)

• Rehabilitation Hospital in Rogers City, MI
• Providers in Rogers City, MI by specialty
• Rehabilitation Hospital in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.