Coptic Cares LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

COPTIC CARES LLC

Practice address

7 Arthur St
Grant, MI 49327-9786

Phone

(616) 510-3142

NPI assigned

Nov 24, 2021

Organization subpart

No

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

Authorized official

Name

Tyler Blacquiere

Title

Partner

Phone

(616) 510-3142

Specialties & licenses 2

Addresses

Other names 1

• Tree of Life AFC Doing business as

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

{
    "created_epoch": "1637712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637712000000",
    "number": "1972260982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ARTHUR ST",
            "city": "GRANT",
            "state": "MI",
            "postal_code": "493279786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ARTHUR ST",
            "city": "GRANT",
            "state": "MI",
            "postal_code": "493279786",
            "telephone_number": "616-510-3142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPTIC CARES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-24",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A",
        "authorized_official_last_name": "BLACQUIERE",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "616-510-3142"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tree of Life AFC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Jean Bulk, PA-C
• Michael Lee Buss, PHARMD
• Ashley Carpenter
• Scott A Chapman, PT
• Sarah Christine Clapp, R.PH.
• Christine Cotton
• David James Dehaan, DPT
• Brian Patrick Dykes, L.P.C.
• Erik Anderson Counseling & Consulting PLLC
• Lindsay Fisher, DMD

• Assisted Living Facility (Mental Illness) in Grant, MI
• Providers in Grant, MI by specialty
• Assisted Living Facility (Mental Illness) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; 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.