Christian Rest Home

LBN: Christian Rest Home Association
Christian Rest Home is an health care organization with primary practice located at 1000 Edison Ave Nw , Grand Rapids MI 49504-3918. 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. Christian Rest Home Association can be contacted via phone (616) 453-2475, or through Horjus, James via phone (616) 453-2475.

Contact Information

Primary practice address
1000 Edison Ave Nw Grand Rapids MI 49504-3918
Phone: (616) 453-2475
Fax: (616) 453-2645
Website:
Map and Directions
Authorized official contact:
Name: Horjus, James
Phone: (616) 453-2475

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 414020 Michigan

Profile Details

NPI number 1073506473
LBN Legal business name Christian Rest Home Association
DBA Doing business as Christian Rest Home
Authorized official Horjus, James
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2005
Last updated Jun 13th, 2008 - about 16 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 1073506473 NPPES
Michigan MEDICAID 60/2151793

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