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General NPI Number Information
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NPI Number | 1790654895
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Entity Type | Organization
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Legal Business Name | NORTON SHORES CARE OPERATIONS LLC
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Dates
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Enumeration Date | 11/05/2025
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 2649 VULCAN ST
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City | NORTON SHORES
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State | MI
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Zip | 49444-2343
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Country | US
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Telephone | 231-600-7188
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Fax | 231-500-0697
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Provider Business Mailing Address
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Address Line | 2649 VULCAN ST
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City | NORTON SHORES
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State | MI
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Zip | 49444-2343
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Country | US
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Telephone | 231-600-7188
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Fax | 231-500-0697
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Authorized Official
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Title or Position | DIRECTOR OF RESIDENTIAL
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Name | MRS. DANIYEL BAER
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Credential |
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Telephone | 616-831-0135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251T00000X
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Taxonomy Name | PACE Provider Organization
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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