Provider Type Icon

DOCKERTY HEALTH CARE SERVICES INC. NPI 1710362264


NPI Information

NPI: 1710362264
Provider Name: DOCKERTY HEALTH CARE SERVICES INC.

Doing Business As: WOODLAND TERRACE OF LONGMEADOW

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 23D2193492

Address:
13 LONGMEADOW VILLAGE DR
NILES, MI
ZIP 49120
Phone: (269) 683-7900
Get Directions

DOCKERTY HEALTH CARE SERVICES INC. is an assisted living facility in Niles, MI. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. DOCKERTY HEALTH CARE SERVICES INC. NPI is 1710362264. The provider is registered as an organization entity type.
The provider Is Doing Business As Woodland Terrace Of Longmeadow.

The provider's business location address is:

13 LONGMEADOW VILLAGE DR
NILES, MI
ZIP 49120-831
Phone: (269) 683-7900

The provider's authorized official is Todd Dockerty .
The authorized official title is Owner/coo and has the following contact phone number (269) 683-7900.

The CLIA number assigned to this NPI record is 23D2193492 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/27/2015 and was last updated on 7/27/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityAH110353051MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.