Stone Creek Manor

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

License

AF250248959 Issued in MI

Legal business name

STONE CREEK MANOR

Practice address

609 Stone Creek Pass
Clio, MI 48420

Phone

(810) 687-2855

Fax

(810) 687-2855

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Shawn Marie Thompson

Title

Owner

Phone

(810) 687-2855

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1699836346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 STONE CREEK PASS",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "48420",
            "telephone_number": "810-687-2855",
            "fax_number": "810-687-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 STONE CREEK PASS",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "48420",
            "telephone_number": "810-687-2855",
            "fax_number": "810-687-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE CREEK MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-687-2855",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": "MI",
            "license": "AF250248959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abbie Lee Sims, FNP-C
• Siva Sankaran MD PC
• Danielle Smith, FNP-C
• Keith Joseph Smith, RPH.
• Maureen Gail Smith, MA, LLPC, CFLE
• Kyleigh Stone-Mayhew
• Julianne Stoneburgh
• Summersliving Systems,Inc.
• Susan L Corbin PC
• Melanie Suttle

• Attendant Care Provider in Clio, MI
• Providers in Clio, MI by specialty
• Attendant Care Provider in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.