Sherri Dawn Hart
Individual provider Active NPI Adult Care Home Facility · Lakeview, MI
NPI 1649019381 · NPPES record last updated May 22, 2024
Key facts
- NPI
- 1649019381
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Care Home Facility 311ZA0620X
- License
- AF590286071 (MI)
- Practice address
- 5603 N Greenville Rd
Lakeview, MI 48850-9530 - Phone
- (989) 814-0813
- NPI assigned
- May 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AF590286071 | MI | MD | Adult Care Home Facility |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | AF590286071 | MI | Yes |
Addresses
Primary practice location
5603 N Greenville Rd
Lakeview, MI 48850-9530
Mailing address
5603 N Greenville Rd
Lakeview, MI 48850-9530
Phone (989) 814-0813
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All providers in Lakeview, MI · Adult Care Home Facility in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.