Clarkston Comfort Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CLARKSTON COMFORT CARE

Practice address

5850 White Lake Rd
Clarkston, MI 48346-2658

Phone

(248) 320-3196

NPI assigned

Oct 27, 2021

Last updated

Oct 27, 2021By 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. Douglas Boehm

Title

Executive Director

Phone

(248) 930-7875

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1679237473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 WHITE LAKE RD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462658",
            "telephone_number": "248-320-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 WHITE LAKE RD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462658",
            "telephone_number": "248-320-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSTON COMFORT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "BOEHM",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "248-930-7875",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clarkston Health Center

• Assisted Living Facility in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Assisted Living Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.