Christian Haven Home

LBN: Christian Haven Home
Christian Haven Home is an health care organization with primary practice located at 704 Pennoyer Ave , Grand Haven MI 49417-1851. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Christian Haven Home can be contacted via phone (616) 842-0170, or through Dixon, Leeanne N via phone (616) 842-0170.

Contact Information

Primary practice address
704 Pennoyer Ave Grand Haven MI 49417-1851
Phone: (616) 842-0170
Fax: (616) 842-4886
Website:
Map and Directions
Authorized official contact:
Name: Dixon, Leeanne N
Phone: (616) 842-0170

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AH700236766 Michigan

Profile Details

NPI number 1235497009
LBN Legal business name Christian Haven Home
DBA Doing business as
Authorized official Dixon, Leeanne N
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 2012
Last updated Apr 30th, 2012 - about 12 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 1235497009 NPPES
Michigan MEDICAID 1771940

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