Coventry House Inn

LBN: Cliffside Company L L C
Coventry House Inn is an health care organization with primary practice located at 3905 Lorraine Path , Saint Joseph MI 49085-8630. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility is the primary health care specialty. Cliffside Company L L C can be contacted via phone (269) 428-1111, or through Tackett, Kimberly M via phone (248) 543-7300.

Contact Information

Primary practice address
3905 Lorraine Path Saint Joseph MI 49085-8630
Phone: (269) 428-1111
Fax: (269) 556-9684
Website:
Map and Directions
Authorized official contact:
Name: Tackett, Kimberly M
Phone: (248) 543-7300

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 114184 Michigan
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1070000420 Michigan

Profile Details

NPI number 1801962097
LBN Legal business name Cliffside Company L L C
DBA Doing business as Coventry House Inn
Authorized official Tackett, Kimberly M
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2006
Last updated May 13th, 2010 - about 14 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 1801962097 NPPES
Michigan Other 09937 BLUE CROSS BLUE SHIELD

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