CROCKERY CREEK ELDER CARE, INC
NPI 1356740245
Assisted Living Facility in Ravenna, MI

Q: What is Crockery Creek Elder Care, Inc's NPI number?

The NPI number for Crockery Creek Elder Care, Inc is 1356740245. It was assigned to this organization in the NPPES registry on August 18, 2014.

Q: What is Crockery Creek Elder Care, Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since August 18, 2014

12291 CROCKERY CREEK DR., RAVENNA, MI 49451(231) 853-8452(231) 853-8492 Get Directions Write a Review

NPPES record last updated: August 18, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Crockery Creek Elder Care, Inc NPPES

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

CROCKERY CREEK ELDER CARE, INC (NPI 1356740245) is a healthcare organization registered as an assisted living facility in Ravenna, Michigan and active in the NPI registry since August 2014. The organization lists Gary Lee Marsman, Owner - President, as its authorized official.

NPPES Registry Identity

NPI1356740245

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameCROCKERY CREEK ELDER CARE, INC

Location Address12291 CROCKERY CREEK DR.Ravenna, MI 49451

Mailing Address12291 Crockery Creek DrRavenna, MI 49451-8831 · (231) 853-8452 · Fax (231) 853-8492

Phone(231) 853-8452

Fax(231) 853-8492

Organization SubpartNo

Authorized OfficialGary Lee MarsmanOwner - President · (231) 206-2265

Enumeration DateAugust 18, 2014

✔ NPI 1356740245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in MI · AF610238757

Definition

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.

12291 CROCKERY CREEK DR., Ravenna, MI 49451

Open in Google Maps ↗

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 Crockery Creek Elder Care, Inc's NPI number?

The NPI number for Crockery Creek Elder Care, Inc is 1356740245. It was assigned to this organization in the NPPES registry on August 18, 2014.

Where is Crockery Creek Elder Care, Inc located?

Crockery Creek Elder Care, Inc is located at 12291 Crockery Creek Dr., Ravenna, MI 49451. The listed phone number is (231) 853-8452.

What is Crockery Creek Elder Care, Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Crockery Creek Elder Care, Inc was last updated on August 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.