Covenant Living Of The Great Lakes

LBN: Covenant Living Of The Great Lakes
Covenant Living Of The Great Lakes is an health care organization with primary practice located at 2520 Lake Michigan Drive Nw , Grand Rapids MI 49504-4696. 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. Covenant Living Of The Great Lakes can be contacted via phone (616) 735-4541, or through Mclaren, Elizabeth via phone (773) 878-4430.

Contact Information

Primary practice address
2520 Lake Michigan Drive Nw Grand Rapids MI 49504-4696
Phone: (616) 735-4541
Fax: (616) 735-5900
Website:
Map and Directions
Authorized official contact:
Name: Mclaren, Elizabeth
Phone: (773) 878-4430

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 414382 Michigan

Profile Details

NPI number 1568554566
LBN Legal business name Covenant Living Of The Great Lakes
DBA Doing business as Covenant Living Of The Great Lakes
Authorized official Mclaren, Elizabeth
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2006
Last updated Jan 28th, 2020 - about 4 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 1568554566 NPPES
Michigan MEDICAID 7974902

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