Parkside Estates

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

AS820313332 Issued in MI

Legal business name

PARKSIDE ESTATES

Practice address

2211 Parkside St
Trenton, MI 48183-2512

Phone

(734) 362-8403

NPI assigned

Mar 6, 2015

Last updated

Mar 6, 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

Mr. Gregory Scott RichardsNPI 1932592623

Title

Administrator

Phone

(734) 692-0877

Specialties & licenses 1

Addresses

Other names 1

• Parkside Estates Senior Residence Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregory Scott Richards

  • Nursing Home Administrator
  • Grosse Ile, MI
  • NPI 1932592623
  NPD (past) Authorized official

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425600000000",
    "number": "1588057103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28860 COLEMAN DR",
            "city": "GROSSE ILE",
            "state": "MI",
            "postal_code": "481382053",
            "telephone_number": "734-692-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 PARKSIDE ST",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832512",
            "telephone_number": "734-362-8403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSIDE ESTATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-06",
        "last_updated": "2015-03-06",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "734-692-0877",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AS820313332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkside Estates Senior Residence",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Steven Richard Papp, D.O.
• Emily Meta Pardington-Madden, MD
• Joel Park
• Nguyen H. Park, PA-C
• Kristen Marie Parker, D.D.S
• Bina Patel, DDS
• Hemant Patel, DPM
• Summer Patterson
• Kristen Pawloski, NP
• Pearle Vision Inc

• Adult Care Home Facility in Trenton, MI
• Providers in Trenton, MI by specialty
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.