U.P. Eldercare, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

274010 Issued in MI

Legal business name

U.P. ELDERCARE, LLC

Doing business as

Josephson Nursing Home

Practice address

634 E Ayer St
Ironwood, MI 49938-2206

Phone

(906) 932-2006

Fax

(906) 932-1380

NPI assigned

Jul 30, 2006

Last updated

Sep 13, 2011By 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

Teresa C Stanfield

Title

Cfo

Phone

(906) 932-2006

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Josephson Nursing Home Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julie Imhoff

  • Occupational Therapist
  • Ironwood, MI
  • NPI 1881979151
  NPD (past)
• Christine Mae Zimmer, PTA

  • Physical Therapy Assistant
  • Ironwood, MI
  • NPI 1194024067
  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315872000000",
    "number": "1700891504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 E AYER ST",
            "city": "IRONWOOD",
            "state": "MI",
            "postal_code": "499382206",
            "telephone_number": "906-932-2006",
            "fax_number": "906-932-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 E AYER ST",
            "city": "IRONWOOD",
            "state": "MI",
            "postal_code": "499382206",
            "telephone_number": "906-932-2006",
            "fax_number": "906-932-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U.P. ELDERCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2011-09-13",
        "status": "A",
        "authorized_official_last_name": "STANFIELD",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "906-932-2006"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "274010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4535772",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Josephson Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dylynn M Vanderschaegen, RPH
• Franklin A Villanueva, MD
• Lowell Vomhof, CRNA
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• Skilled Nursing Facility in Ironwood, MI
• Providers in Ironwood, MI by specialty
• Skilled Nursing Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.