Clark Retirement Community, Inc.

LBN: Clark Retirement Community, Inc.
Clark Retirement Community, Inc. is an health care organization with primary practice located at 1551 Franklin St Se , Grand Rapids MI 49506. 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. Clark Retirement Community, Inc. can be contacted via phone (616) 452-1568, or through Pangle, Brian A via phone (616) 452-1568.

Contact Information

Primary practice address
1551 Franklin St Se Grand Rapids MI 49506
Phone: (616) 452-1568
Fax: (616) 247-9625
Website:
Map and Directions
Authorized official contact:
Name: Pangle, Brian A
Phone: (616) 452-1568

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 235401 Michigan

Profile Details

NPI number 1265421051
LBN Legal business name Clark Retirement Community, Inc.
DBA Doing business as
Authorized official Pangle, Brian A
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2005
Last updated Apr 7th, 2015 - about 10 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 1265421051 NPPES
Michigan MEDICAID 2081269

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