Healthcare Provider Details

I. General information

NPI: 1235059536
Provider Name (Legal Business Name): HOPE SHORES MCKINLEY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9222 MCKINLEY RD
MONTROSE MI
48457-9185
US

IV. Provider business mailing address

12276 WINDSOR BEACH DR
FENTON MI
48430-9728
US

V. Phone/Fax

Practice location:
  • Phone: 916-862-0166
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. EMILY SEDLAK
Title or Position: BUSINESS MANAGER
Credential:
Phone: 916-862-0166