Canterbury On-The-Lake

LBN: Canterbury Health Care, Inc
Canterbury On-The-Lake is an health care organization with primary practice located at 5601 Hatchery Rd , Waterford MI 48329. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Canterbury Health Care, Inc can be contacted via phone (248) 674-9292, or through Drutchas, Cheryl A via phone (248) 674-9292.

Contact Information

Primary practice address
5601 Hatchery Rd Waterford MI 48329
Fax: (248) 674-5393
Website:
Authorized official contact:
Name: Drutchas, Cheryl A

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1070000051 Michigan

Profile Details

NPI number 1013013275
LBN Legal business name Canterbury Health Care, Inc
DBA Doing business as Canterbury On-The-Lake
Authorized official Drutchas, Cheryl A
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2006
Last updated Aug 28th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013013275 NPPES
Michigan MEDICAID 60 2083058
Michigan Other 09755
Michigan Other F0000008663

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