Organization Active NPI

Mather Healthcare, LLC

  • Skilled Nursing Facility
  • Ishpeming, MI
National Provider Identifier
1689612590
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
524050 Issued in MI
Legal business name
MATHER HEALTHCARE, LLC
Practice address
435 Stoneville Rd
Ishpeming, MI 49849-2921
Phone
(906) 485-1073
Fax
(906) 485-4611
NPI assigned
Jun 3, 2006
Last updated
Oct 31, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Authorized official

Name
Aaron Mauer
Title
Cfo
Phone
(847) 902-9586

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 524050 MI Primary

Addresses

Primary practice location

435 Stoneville Rd
Ishpeming, MI 49849-2921

Mailing address

435 Stoneville Rd
Ishpeming, MI 49849-2921
Phone (906) 485-1073

Other identifiers 1

IdentifierTypeStateIssuer
4639919MedicaidMI

National Provider Directory

National Provider Directory

Locations

435 Stoneville Rd
Ishpeming, MI 49849
Phone (906) 204-2555

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1689612590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 STONEVILLE RD",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498492921",
            "telephone_number": "906-485-1073",
            "fax_number": "906-485-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 STONEVILLE RD",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498492921",
            "telephone_number": "906-485-1073",
            "fax_number": "906-485-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATHER HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "MAUER",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "847-902-9586"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "524050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4639919",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ishpeming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.