Active NPI
Hudson Country Manor Inc.
- Assisted Living Facility (Mental Illness)
- Portage, MI
National Provider Identifier
1932831872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Mental Illness)
- Legal business name
- HUDSON COUNTRY MANOR INC.
- Practice address
- 9842 Oakland Dr
Portage, MI 49024-7710 - Phone
- (269) 323-9752
- NPI assigned
- Jun 29, 2022
- Last updated
- Dec 1, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vashu Patel
- Title
- Owner
- Phone
- (269) 718-9040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility (Mental Illness) | 3104A0625X | NU | Primary |
Addresses
Primary practice location
9842 Oakland Dr
Portage, MI 49024-7710
Mailing address
9842 Oakland Dr
Portage, MI 49024-7710
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Podiatrist
- Mattawan, MI
- NPI 1609820331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669852800000",
"number": "1932831872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9842 OAKLAND DR",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490247710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9842 OAKLAND DR",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490247710",
"telephone_number": "269-323-9752"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUDSON COUNTRY MANOR INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-29",
"last_updated": "2022-12-01",
"certification_date": "2022-12-01",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "VASHU",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "269-718-9040"
},
"taxonomies": [
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portage, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.