Michigan Masonic Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

L458405 Issued in MI

Legal business name

MICHIGAN MASONIC HOME

Doing business as

Warwick Living Center

Practice address

842 W Warwick Dr
Alma, MI 48801-1178

Phone

(989) 463-2200

Fax

(989) 463-2543

NPI assigned

Oct 24, 2014

Last updated

Oct 24, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

MICHIGAN MASONIC HOMEAs reported in NPPES

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

Authorized official

Name

Mr. Don Pray

Title

Cfo

Phone

(989) 466-3811

Specialties & licenses 1

Addresses

Other names 1

• Warwick Living Center Doing business as

Part of

Michigan Masonic Home

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Michigan Masonic Home

  dba Masonic Pathways

  • Skilled Nursing Facility
  • Alma, MI
  • NPI 1376545533

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1598160137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WRIGHT AVE",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011133",
            "telephone_number": "989-463-3141",
            "fax_number": "989-466-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 W WARWICK DR",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011178",
            "telephone_number": "989-463-2200",
            "fax_number": "989-463-2543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN MASONIC HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MICHIGAN MASONIC HOME",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "PRAY",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "989-466-3811",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "L458405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Warwick Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mercy Plus Health Services
• Edwin G Meyer, M.D.
• Michigan Healthcare Professionals, P.C.
• Michigan Masonic Home (Masonic Pathways)
• Michigan Masonic Home (Masonic Pathways)
• Michigan Masonic Home (Masonic Pathways)
• Michigan Masonic Home (Masonic Pathways)
• Michigan Radiation Medicine PLLC
• Pamela S Micko
• Mid Michigan Ketamine Clinic PLLC

• Skilled Nursing Facility in Alma, MI
• Providers in Alma, MI by specialty
• Skilled Nursing Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.