NPIMap

Organization Active NPI

Reflections of Thurston Woods

  • Adult Care Home Facility
  • Sturgis, MI
National Provider Identifier
1922558329
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
AM750378700 Issued in MI
Legal business name
REFLECTIONS OF THURSTON WOODS
Practice address
1946 S. Thurston Woods Drive
Sturgis, MI 49091
Phone
(269) 319-6505
NPI assigned
Oct 10, 2016
Last updated
Oct 10, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
THURSTON WOODS VILLAGE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Authorized official

Name
Mrs. Theo Omo
Title
Ceo
Phone
(269) 651-7841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X AM750378700 MI Primary

Addresses

Primary practice location

1946 S. Thurston Woods Drive
Sturgis, MI 49091

Mailing address

307 N. Franks Ave.
Sturgis, MI 49091
Phone (269) 651-7841

Other names 1

  • Adult Foster Care Other name

National Provider Directory

National Provider Directory
Tax ID family
Reflections of Thurston Woods2 organizations share this tax ID, including this one
Part of
Reflections of Thurston Woods

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1922558329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 N. FRANKS AVE.",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "49091",
            "telephone_number": "269-651-7841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1946 S. THURSTON WOODS DRIVE",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "49091",
            "telephone_number": "269-319-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFLECTIONS OF THURSTON WOODS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THURSTON WOODS VILLAGE, INC.",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "OMO",
        "authorized_official_first_name": "THEO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "269-651-7841",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AM750378700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult Foster Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sturgis, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.