NPIMap

Organization Active NPI

Michigan Masonic Home

Doing business as Masonic Pathways

  • Assisted Living Facility
  • Alma, MI
National Provider Identifier
1811728843
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MICHIGAN MASONIC HOME
Doing business as
Masonic Pathways
Practice address
1200 Wright Ave
Alma, MI 48801-1133
Phone
(989) 466-3864
Fax
(989) 463-8921
NPI assigned
Aug 12, 2024
Organization subpart
Yes
Parent organization
MICHIGAN MASONIC HOMEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Authorized official

Name
Michelle L Shaw
Title
Health Information Services/Clinic
Phone
(989) 463-3141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1200 Wright Ave
Alma, MI 48801-1133

Mailing address

1200 Wright Ave
Alma, MI 48801-1133
Phone (989) 466-3864

Other names 2

  • Masonic Pathways Doing business as
  • Masonic Pathways HFA Other name

National Provider Directory

National Provider Directory
Tax ID family
Michigan Masonic Home4 organizations share this tax ID, including this one
Part of
Michigan Masonic Home

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1811728843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WRIGHT AVE",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011133",
            "telephone_number": "989-466-3864",
            "fax_number": "989-463-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WRIGHT AVE",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011133",
            "telephone_number": "989-466-3864",
            "fax_number": "989-463-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN MASONIC HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MICHIGAN MASONIC HOME",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "HEALTH INFORMATION SERVICES/CLINIC",
        "authorized_official_telephone_number": "989-463-3141"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Masonic Pathways",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Masonic Pathways HFA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Alma, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.