Bon Secours Cottage Nursing Care Center

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

BON SECOURS COTTAGE NURSING CARE CENTER

Practice address

26001 Jefferson Ave
St Clair Shores, MI 48081-2309

Phone

(586) 447-4171

Fax

(586) 447-4180

NPI assigned

Jul 28, 2005

Organization subpart

No

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

Authorized official

Name

Cathy Hunter

Title

Billing Supervisor

Phone

(586) 447-4161

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1699775049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77000",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482772000",
            "telephone_number": "586-447-4171",
            "fax_number": "586-447-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26001 JEFFERSON AVE",
            "city": "ST CLAIR SHORES",
            "state": "MI",
            "postal_code": "480812309",
            "telephone_number": "586-447-4171",
            "fax_number": "586-447-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON SECOURS COTTAGE NURSING CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "586-447-4161"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "601689102",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "504011",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara Bodagh
• Eliisa Siren Bojanic, MD
• Kenneth W Bollin, MD
• Anna Maureen Bommarito
• Bon Secours Cottage Health Services
• Bon Secours Place at St. Clair Shores
• Ronald August Bonaventura Jr.
• Mariah Bono-Eddy, LLC
• Erin Christine Bookout, PA
• James D. Bookout, M.D.

• Nursing Facility/Intermediate Care Facility in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Nursing Facility/Intermediate Care Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.