Premier Care Assisted Living

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

Legal business name

PREMIER CARE ASSISTED LIVING

Practice address

1109 16TH St
Bay City, MI 48708-7334

Phone

(989) 295-7641

Fax

(989) 496-0147

NPI assigned

Feb 13, 2018

Organization subpart

No

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

Authorized official

Name

Donzell Junior Dawkins Jr.

Title

Ceo

Phone

(989) 295-7641

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1841790102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 16TH ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487087334",
            "telephone_number": "989-295-7641",
            "fax_number": "989-496-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 16TH ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487087334",
            "telephone_number": "989-295-7641",
            "fax_number": "989-496-0147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2487 Bala Dr",
            "address_purpose": "LOCATION",
            "city": "Bay City",
            "state": "MI",
            "postal_code": "487088199",
            "country_code": "US",
            "telephone_number": "989-295-7641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5205 S M 33",
            "address_purpose": "LOCATION",
            "city": "Alger",
            "state": "MI",
            "postal_code": "486109440",
            "country_code": "US",
            "telephone_number": "989-295-7641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5189 S M-33",
            "address_purpose": "LOCATION",
            "city": "Alger",
            "state": "MI",
            "postal_code": "48610",
            "country_code": "US",
            "telephone_number": "989-295-7641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3963 Adela Ct",
            "address_purpose": "LOCATION",
            "city": "Bay City",
            "state": "MI",
            "postal_code": "487062103",
            "country_code": "US",
            "telephone_number": "989-295-7641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2204 S Farragut St",
            "address_purpose": "LOCATION",
            "city": "Bay City",
            "state": "MI",
            "postal_code": "487088159",
            "country_code": "US",
            "telephone_number": "989-295-7641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER CARE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "DAWKINS",
        "authorized_official_first_name": "DONZELL",
        "authorized_official_middle_name": "JUNIOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "989-295-7641",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey A Potts, MD
• Samantha Marlaine Potts
• Samantha Powless
• Jaycie Prall
• Omesh Prathiraja
• Kelli Prena
• Rachel Prenzler, MSW
• Courtney Aniya Prescott
• Jennifer Ann Pressler, RN, BSN
• Timothy John Preston, PHARMD

• Foster Care Agency in Bay City, MI
• Providers in Bay City, MI by specialty
• Foster Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.