Blueberry Hill Assisted Living Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BLUEBERRY HILL ASSISTED LIVING INC.

Practice address

99 Walker St
Lawton, MI 49065-9703

Phone

(269) 299-6006

NPI assigned

Jun 27, 2024

Last updated

Jun 2, 2026By 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

Joshua Botnick

Title

Owner

Phone

(323) 620-4968

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1710722137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 480762",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900489362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 WALKER ST",
            "city": "LAWTON",
            "state": "MI",
            "postal_code": "490659703",
            "telephone_number": "269-299-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBERRY HILL ASSISTED LIVING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-27",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "BOTNICK",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-620-4968"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jake Aldrich, MOT
• Jamie Barnett
• Donnie S Beasley, DO
• Stacey Ann Bennett, R.PH.
• Spencer Blanchard
• Patricia Brucks
• Buckeye Senior Rehab LLC (Seasons Senior Rehab)
• Care Community Lawton
• Shelby Chopp, PHARM.D.
• Tamara Claes, OTR

• Assisted Living Facility in Lawton, MI
• Providers in Lawton, MI by specialty
• Assisted Living Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.