Riverside Nursing And Rehabilitation Community

LBN: Ccg Lakeshore Inc
Riverside Nursing And Rehabilitation Community is an health care organization with primary practice located at 415 Friant St , Grand Haven MI 49417-2311. 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. Ccg Lakeshore Inc can be contacted via phone (616) 842-4120, or through Ferkany, James via phone (614) 454-6048.

Contact Information

Primary practice address
415 Friant St Grand Haven MI 49417-2311
Phone: (616) 842-4120
Fax: (616) 842-8742
Website:
Map and Directions
Authorized official contact:
Name: Ferkany, James
Phone: (614) 454-6048

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 70-4090 Michigan

Profile Details

NPI number 1538167630
LBN Legal business name Ccg Lakeshore Inc
DBA Doing business as Riverside Nursing And Rehabilitation Community
Authorized official Ferkany, James
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 12th, 2005
Last updated Jan 6th, 2020 - about 4 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 1538167630 NPPES
Michigan Other 09621 BCBS PROVIDER CODE
Michigan MEDICAID 60 2154623 BCBS PROVIDER CODE

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