DOCKERTY HEALTH CARE SERVICES INC NPI 1164623385

NPI Information

  • NPI: 1164623385
  • Provider Name: DOCKERTY HEALTH CARE SERVICES INC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: WOODLAND TERRACE
  • CLIA Number: 23D2193487
  • Address: 8850 RED ARROW HWY
    BRIDGMAN, MI
    ZIP 49106
  • Phone: (269) 465-7600

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NPI Details

DOCKERTY HEALTH CARE SERVICES INC is an assisted living facility in Bridgman, MI. The provider is 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. DOCKERTY HEALTH CARE SERVICES INC NPI is 1164623385. The provider is registered as an organization entity type.
The provider Is Doing Business As Woodland Terrace.

The provider's business location address is:

8850 RED ARROW HWY
BRIDGMAN, MI
ZIP 49106
Phone: (269) 465-7600
Fax: (269) 465-6463

The provider's authorized official is Timothy Mark Dockerty .
The authorized official title is Director and has the following contact phone number (269) 465-7600.

The CLIA number assigned to this NPI record is 23D2193487 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/29/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityMICHIGANYes

What is NPI?

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This page was last updated on: 11/21/2025

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