Boulder Park Terrace

LBN: Charlevoix Nursing Home Corporation
Boulder Park Terrace is an health care organization with primary practice located at 14676 W Upright St , Charlevoix MI 49720-1201. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Charlevoix Nursing Home Corporation can be contacted via phone (231) 547-1005, or through Bellamy, David via phone (231) 487-4094.

Contact Information

Primary practice address
14676 W Upright St Charlevoix MI 49720-1201
Phone: (231) 547-1005
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bellamy, David
Phone: (231) 487-4094

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 235526 Michigan

Profile Details

NPI number 1508962069
LBN Legal business name Charlevoix Nursing Home Corporation
DBA Doing business as Boulder Park Terrace
Authorized official Bellamy, David
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2006
Last updated Aug 28th, 2017 - about 7 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 1508962069 NPPES
Michigan MEDICAID 2896882

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