The Grand Home of Marshall

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

4704175126 Issued in MI

Legal business name

THE GRAND HOME OF MARSHALL

Practice address

111 N Grand St
Marshall, MI 49068-1503

Phone

(269) 789-1111

Fax

(269) 789-1212

NPI assigned

Oct 18, 2006

Last updated

Aug 22, 2020By 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

Mrs. Rebecca Ann Schook, REGISTERED NURSE

Title

Administrator

Phone

(269) 789-1111

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669553574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N GRAND ST",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681503",
            "telephone_number": "269-789-1111",
            "fax_number": "269-789-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N GRAND ST",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681503",
            "telephone_number": "269-789-1111",
            "fax_number": "269-789-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GRAND HOME OF MARSHALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHOOK",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "269-789-1111",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "MI",
            "license": "4704175126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101093562399",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tendercare Primary Properties Inc. (Tendercare Marshall)
• Kristin Ann Tenney-Blackwell, M.A., TLLP
• Anoop Thakur, M.D.
• Subhash Thakur, MD
• The Doctors Group P.C. (South Central ENT)
• Morgan Ann Thelen
• Thomas Neidlinger
• Michael Thompson, AU.D.
• Nicole Frances Thompson, DNAP, CRNA
• Molly Tinay

• Administrator Registered Nurse in Marshall, MI
• Providers in Marshall, MI by specialty
• Administrator Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.