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ROSE MARIE BOUCK
NPI 1073081907
Custodial Care Facility - Adult Care Home in Gowen, MI

Active since November 08, 2018
12700 LINCOLN LAKE AVE, GOWEN, MI 49326(231) 580-4533(616) 712-6002 Get Directions Write a Review

NPPES record last updated: November 8, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rose Marie Bouck NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSE MARIE BOUCK (NPI 1073081907) is an individual adult care home provider in Gowen, Michigan, licensed in Michigan (AF410395782) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1073081907
Entity TypeIndividualFemale
Primary Taxonomy311ZA0620X
Provider Legal NameROSE MARIE BOUCK
Location Address12700 LINCOLN LAKE AVEGowen, MI 49326
Mailing Address12700 Lincoln Lake AveGowen, MI 49326-9403 · (231) 580-4533 · Fax (616) 712-6002
Phone(231) 580-4533
Fax(616) 712-6002
Sole ProprietorYes
Enumeration DateNovember 8, 2018
✔ NPI 1073081907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in MI · AF410395782
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
12700 LINCOLN LAKE AVE, Gowen, MI 49326
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELA MARIE WELCH
Custodial Care Facility (Adult Care Home)
12700 LINCOLN LAKE AVE
GOWEN, MI 49326
Montcalm County (616) 712-6002

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rose Bouck's NPI number?

The NPI number for Rose Bouck is 1073081907. It was assigned to this individual provider in the NPPES registry on November 8, 2018.

Where is Rose Bouck located?

Rose Bouck practices at 12700 Lincoln Lake Ave, Gowen, MI 49326. The listed phone number is (231) 580-4533.

What is Rose Bouck's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Rose Bouck was last updated on November 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.