County of Barry

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

COUNTY OF BARRY

Practice address

2700 Nashville Rd
Hastings, MI 49058-8824

Phone

(269) 945-2407

Fax

(269) 945-5380

NPI assigned

Mar 20, 2018

Organization subpart

Yes

Parent organization

COUNTY OF BARRYAs reported in NPPES

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

Authorized official

Name

Mrs. Rebecca K Dehaan

Title

Administrator

Phone

(269) 945-2407

Specialties & licenses 1

Addresses

Other names 1

• Out-Pt Therapy at Thornapple Manor Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Part of

County of Barry

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1861996464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 NASHVILLE RD",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490588824",
            "telephone_number": "269-945-2407",
            "fax_number": "269-945-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 NASHVILLE RD",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490588824",
            "telephone_number": "269-945-2407",
            "fax_number": "269-945-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF BARRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF BARRY",
        "enumeration_date": "2018-03-20",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "DEHAAN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "269-945-2407",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Out-Pt Therapy at Thornapple Manor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Out-Pt Therapy at Thornapple Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melanie Conley, LPC
• Paula L Copeland, LPC
• Cornerstone Living Center, Inc.
• County of Barry
• County of Barry
• Creekside Vision & Hearing, PLC
• Carrie Critzer
• Ericka Critzer
• Michael Critzer
• Heather Sue Cross, CNA

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Hastings, MI
• Providers in Hastings, MI by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.