Bloomingdale Care Operating Co LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

804010 Issued in MI

Legal business name

BLOOMINGDALE CARE OPERATING CO LLC

Practice address

42235 County Road 390
Bloomingdale, MI 49026-8753

Phone

(269) 521-3383

NPI assigned

Jan 2, 2008

Organization subpart

No

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

Authorized official

Name

Brian Thompson, M.B.A.

Title

C.E.O.

Phone

(989) 588-9928

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1730364324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42235 COUNTY ROAD 390",
            "city": "BLOOMINGDALE",
            "state": "MI",
            "postal_code": "490268753",
            "telephone_number": "269-521-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42235 COUNTY ROAD 390",
            "city": "BLOOMINGDALE",
            "state": "MI",
            "postal_code": "490268753",
            "telephone_number": "269-521-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMINGDALE CARE OPERATING CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "989-588-9928",
        "authorized_official_credential": "M.B.A."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "804010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Bloomingdale, MI
• Providers in Bloomingdale, 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 Jan 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.