SKAGGS ASSISTED LIVING LLC. NPI 1205560315

NPI Information

  • NPI: 1205560315
  • Provider Name: SKAGGS ASSISTED LIVING, LLC.
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • :
  • CLIA Number: 23D2265751
  • Address: 285 MCMAHON DR
    BRONSON, MI
    ZIP 49028
  • Phone: (517) 617-4058

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NPI Details

SKAGGS ASSISTED LIVING, LLC. is a primary care clinic center in Bronson, MI. SKAGGS ASSISTED LIVING, LLC. NPI is 1205560315. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

285 MCMAHON DR
BRONSON, MI
ZIP 49028-434
Phone: (517) 617-4058
Fax: (517) 858-1062

The provider's authorized official is Julia Sue Skaggs .
The authorized official title is Administrator and has the following contact phone number (517) 617-4058.

The CLIA number assigned to this NPI record is 23D2265751 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/13/2022 and was last updated on 3/31/2025.

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
1207Q00000XFamily MedicineNo
2261QP2300XClinic/CenterPrimary CareYes
3310400000XAssisted Living FacilityNo
4311ZA0620XCustodial Care FacilityAdult Care HomeNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

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

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