Birchwood Nursing Center Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

284020 Issued in MI

Legal business name

BIRCHWOOD NURSING CENTER INC.

Doing business as

Tendercare Health Center - Birchwood

Practice address

2950 Lafranier Rd
Traverse City, MI 49686-4918

Phone

(231) 947-0506

Fax

(231) 947-0744

NPI assigned

May 27, 2006

Last updated

Apr 10, 2008By 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

Ms. Donna J. Maassen

Title

Director of Compliance

Phone

(414) 908-8119

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tendercare Health Center - Birchwood Doing business as

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1750338521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 LAFRANIER RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496864918",
            "telephone_number": "231-947-0506",
            "fax_number": "231-947-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 LAFRANIER RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496864918",
            "telephone_number": "231-947-0506",
            "fax_number": "231-947-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRCHWOOD NURSING CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "MAASSEN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "414-908-8119",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "284020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2623885",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tendercare Health Center - Birchwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeremy Ryan Bilderback, MA, LLPC
• Biocare Medicine PLLC
• Biocare PLLC 2
• Birch Tree Podiatry Group PC
• Birchwood Nursing Center Inc. (Tendercare Health Center - Birchwood)
• Diana Elizabeth Bischer, NP
• Stephanie Nicole Bishop
• Sonya Biskupski, MS, CCC-SLP
• Elizabeth Anne Renee Black, LLPC
• Jasmine Black

• Skilled Nursing Facility in Traverse City, MI
• Providers in Traverse City, 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 Apr 10, 2008; 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.