Organization Active NPI

Jewel Hill LLC

  • Clinical Social Worker
  • Battle Creek, MI
National Provider Identifier
1710671540
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JEWEL HILL LLC
Practice address
11135 Burrows Rd
Battle Creek, MI 49014-8193
Phone
(269) 986-6372
NPI assigned
Jun 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Authorized official

Name
Mrs. Gladys Jewel Seedorf, LMSWNPI 1821502436
Title
Ceo
Phone
(269) 986-6372

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

11135 Burrows Rd
Battle Creek, MI 49014-8193

Mailing address

11135 Burrows Rd
Battle Creek, MI 49014-8193
Phone (269) 986-6372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, AL, OH3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20231025000978 MI Part B Supplier - Clinic/Group Practice 9638525876 Receives reassigned benefits from 1 practitioner
Practice locations: Portage, MI
O20250512001996 AL Part B Supplier - Clinic/Group Practice 9638525876 Receives reassigned benefits from 1 practitioner
Practice locations: Enterprise, AL
O20250522003182 OH Part B Supplier - Clinic/Group Practice 9638525876 Receives reassigned benefits from 1 practitioner
Practice locations: Dayton, OH

National Provider Directory

National Provider Directory

Locations

1623 W Centre Ave
Portage, MI 49024
Phone (269) 986-6372

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1710671540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11135 BURROWS RD",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490148193",
            "telephone_number": "269-986-6372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11135 BURROWS RD",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490148193",
            "telephone_number": "269-986-6372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWEL HILL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "SEEDORF",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_middle_name": "JEWEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "269-986-6372",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.