Close to Home Assisted Living Esu

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CLOSE TO HOME ASSISTED LIVING ESU

Doing business as

Close to Home

Practice address

805 E South Union St
Bay City, MI 48706-4895

Phone

(989) 316-2697

Fax

(989) 439-1039

NPI assigned

Sep 16, 2024

Organization subpart

No

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

Authorized official

Name

Mr. John Delevan Winden Jr., RN, MSN

Title

Owner

Phone

(989) 316-2697

Specialties & licenses 1

Addresses

Other names 1

• Close to Home Doing business as

Locations

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1740017748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 E SOUTH UNION ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487064895",
            "telephone_number": "989-316-2697",
            "fax_number": "989-439-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E SOUTH UNION ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487064895",
            "telephone_number": "989-316-2697",
            "fax_number": "989-439-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOSE TO HOME ASSISTED LIVING ESU",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "WINDEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DELEVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-316-2697",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RN, MSN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Close to Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rob Clement
• Brenda Clifford, OT
• Ashley E Cline, BCABA
• Kiley Cline
• Genella Clor
• Ann Clynick, LLMSW
• Kimberly Cnudde, LLMSW
• Shannon Cnudde, COTA/L
• Rebecca Cobb
• Brianna Cobbs

• Assisted Living Facility in Bay City, MI
• Providers in Bay City, 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 Sep 16, 2024; 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.