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MICHIGAN MASONIC HOME
NPI 1285465633
Family Medicine - Geriatric Medicine in Alma, MI

Active since August 08, 2024CLIA 23D0928520 · Waiver
1200 WRIGHT AVE, ALMA, MI 48801(989) 466-3864(989) 463-8921 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michigan Masonic Home NPPES

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

MICHIGAN MASONIC HOME (NPI 1285465633), doing business as Masonic Pathways, is a healthcare organization registered as a geriatric medicine in Alma, Michigan and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through May 19, 2027 and lists Michelle L Shaw, Health Information Services/clinic, as its authorized official.

NPPES Registry Identity

NPI1285465633
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameMICHIGAN MASONIC HOME
Location Address1200 WRIGHT AVEAlma, MI 48801-1133
Mailing Address1200 Wright AveAlma, MI 48801-1133 · (989) 466-3864 · Fax (989) 463-8921
Phone(989) 466-3864
Fax(989) 463-8921
Organization SubpartNo
Authorized OfficialMichelle L ShawHealth Information Services/clinic · (989) 466-3864
Enumeration DateAugust 8, 2024
NPPES CertifiedAugust 8, 2024
✔ NPI 1285465633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
1200 WRIGHT AVE, Alma, MI 48801
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Other Names 1

Doing Business AsMasonic Pathways

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D0928520

Michigan Masonic Home · Alma, MI
Active · expires May 19, 2027
CLIA Number23D0928520
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMay 20, 2025
Certificate Expiration DateMay 19, 2027
Laboratory DirectorPrakash Sarvepalli
Laboratory Phone(989) 466-3865
Laboratory LocationMichigan Masonic Home1200 Wright Avenue, Alma, MI 48801
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

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

VICTORIA LAUREN THORNTON OTRL
Occupational Therapist
1200 WRIGHT AVE
ALMA, MI 48801
Gratiot County (989) 463-3141
JEFFREY JAMES
Speech-Language Pathologist
1200 WRIGHT AVE
ALMA, MI 48801
Gratiot County (800) 321-9357
MEGAN ALYSSA BURK PT, DPT
Physical Therapist
1200 WRIGHT AVE
ALMA, MI 48801
Gratiot County (989) 463-3141
MICHIGAN MASONIC HOME
Skilled Nursing Facility
1200 WRIGHT AVE
ALMA, MI 48801
Gratiot County (989) 463-3141
STEPHANIE CANUTE MA. CCC-SLP
Speech-Language Pathologist
1200 WRIGHT AVE
ALMA, MI 48801
Gratiot County (989) 466-3858
DR. COLE REMINGTON SING PT, DPT
Physical Therapist
1200 WRIGHT AVE
ALMA, MI 48801
Gratiot County (800) 321-9357
ANNA SPINDLER
Speech-Language Pathologist
1200 WRIGHT AVE
ALMA, MI 48801
Gratiot County (989) 463-3141
SARAH LOUISE EDWARDS
Speech-Language Pathologist
1200 WRIGHT AVE
ALMA, MI 48801
Gratiot County (989) 466-3858

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 Michigan Masonic Home's NPI number?

The NPI number for Michigan Masonic Home is 1285465633. It was assigned to this organization in the NPPES registry on August 8, 2024. The provider is doing business as Masonic Pathways.

Where is Michigan Masonic Home located?

Michigan Masonic Home is located at 1200 Wright Ave, Alma, MI 48801. The listed phone number is (989) 466-3864.

What is Michigan Masonic Home's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Does Michigan Masonic Home hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0928520) is associated with this NPI, valid through May 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Michigan Masonic Home accept?

Health plans from Blue Care Network of Michigan list Michigan Masonic Home as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michigan Masonic Home was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.