Organization Active NPI

Hudson Country Manor Inc.

  • Assisted Living Facility (Mental Illness)
  • Portage, MI
National Provider Identifier
1932831872
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.