East Grand Nursing Home, Inc.

LBN: East Grand Nursing Home, Inc.
East Grand Nursing Home, Inc. is an health care organization with primary practice located at 130 E Grand Blvd , Detroit MI 48207-3799. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. East Grand Nursing Home, Inc. can be contacted via phone (313) 824-8224, or through Barton, John L via phone (313) 824-8224.

Contact Information

Primary practice address
130 E Grand Blvd Detroit MI 48207-3799
Fax: (313) 824-8220
Website:
Authorized official contact:
Name: Barton, John L

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 834330 Michigan

Profile Details

NPI number 1184602088
LBN Legal business name East Grand Nursing Home, Inc.
DBA Doing business as
Authorized official Barton, John L
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2006
Last updated Aug 22nd, 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 1184602088 NPPES
Michigan MEDICAID 60
Michigan MEDICAID 2155219
Michigan Other 23E075
Michigan Other 834330

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