Pinecrest Farms

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

A1560000004 Issued in MI

Legal business name

PINECREST FARMS

Practice address

413 N Homer Rd
Midland, MI 48640-8646

Phone

(989) 832-6634

Fax

(989) 837-0666

NPI assigned

Oct 2, 2014

Last updated

Oct 2, 2014By 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

Joe Blewett

Title

Administrator

Phone

(989) 832-6634

Specialties & licenses 3

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Midland County Juvenile Care Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• County of Midland

  dba Midland County Health Department

  • State or Local Public Health Clinic/Center
  • Midland, MI
  • NPI 1295741551
  NPD tax ID
• Midland County Juvenile Care Center

  • Community/Behavioral Health Agency
  • Midland, MI
  • NPI 1932472891
  NPD tax ID

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1891198057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 N HOMER RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486408646",
            "telephone_number": "989-832-6634",
            "fax_number": "989-837-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 N HOMER RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486408646",
            "telephone_number": "989-832-6634",
            "fax_number": "989-837-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINECREST FARMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "BLEWETT",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "989-832-6634"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "A1560000004",
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "MI",
            "license": "A1560000004",
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "MI",
            "license": "A1560000004",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0892955",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serena Piasini
• Jolene Pickelman, M.A., LPC
• Kathryn Pickens
• Kerry Pierce, MD
• Pine River Chiropractic LLC
• Joann Margaret Pinet
• Adam Pinney
• Jack Pinney, MD
• Mackayla Grace Pirie
• Renee Place, LMSW

• Assisted Living Facility in Midland, MI
• Providers in Midland, 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 Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.