WOODLAND TERRACE OF LONGMEADOW
NPI 1710362264
Assisted Living Facility in Niles, MI

Active since July 27, 2015CLIA 23D2193492 · Waiver
13 LONGMEADOW VILLAGE DR, NILES, MI 49120(269) 683-7900 Get Directions Write a Review

NPPES record last updated: July 27, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Woodland Terrace Of Longmeadow NPPES

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

WOODLAND TERRACE OF LONGMEADOW (NPI 1710362264) is a healthcare organization registered as an assisted living facility in Niles, Michigan and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through September 21, 2026 and lists Todd Dockerty, Owner/coo, as its authorized official.

NPPES Registry Identity

NPI1710362264
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameDOCKERTY HEALTH CARE SERVICES INC.
Location Address13 LONGMEADOW VILLAGE DRNiles, MI 49120-7831
Mailing Address8850 Red Arrow HwyBridgman, MI 49106-9524 · (269) 465-7600
Organization SubpartNo
Authorized OfficialTodd DockertyOwner/coo · (269) 683-7900
Enumeration DateJuly 27, 2015
NPI 1710362264 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 · AH110353051
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.
13 LONGMEADOW VILLAGE DR, Niles, MI 49120

Other Names 1

Doing Business AsWoodland Terrace Of Longmeadow

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 23D2193492

Woodland Terrace At Longmeadow · Niles, MI
Active · expires Sep 21, 2026
CLIA Number23D2193492
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 22, 2024
Certificate Expiration DateSeptember 21, 2026
Laboratory DirectorTodd Dockerty
Laboratory Phone(574) 261-1124
Laboratory LocationWoodland Terrace At Longmeadow13 Longmeadow Village Drive, Niles, MI 49120
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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 Dockerty Health Care Services Inc.'s NPI number?

The NPI number for Dockerty Health Care Services Inc. is 1710362264. It was assigned to this organization in the NPPES registry on July 27, 2015. The provider is doing business as Woodland Terrace Of Longmeadow.

Where is Dockerty Health Care Services Inc. located?

Dockerty Health Care Services Inc. is located at 13 Longmeadow Village Dr, Niles, MI 49120. The listed phone number is (269) 683-7900.

What is Dockerty Health Care Services Inc.'s specialty?

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

Does Dockerty Health Care Services Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2193492) is associated with this NPI, valid through September 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dockerty Health Care Services Inc. was last updated on July 27, 2015. 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.