The Villa At Green Lake Estates

LBN: Green Lake Opco, Llc
The Villa At Green Lake Estates is an health care organization with primary practice located at 6470 Alden Dr , West Bloomfield MI 48324-2006. 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. Green Lake Opco, Llc can be contacted via phone (248) 363-4121, or through Isreal, Ben via phone (847) 440-2660.

Contact Information

Primary practice address
6470 Alden Dr West Bloomfield MI 48324-2006
Phone: (248) 363-4121
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Isreal, Ben
Phone: (847) 440-2660

Health care specialties

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

Profile Details

NPI number 1881074961
LBN Legal business name Green Lake Opco, Llc
DBA Doing business as The Villa At Green Lake Estates
Authorized official Isreal, Ben
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2015
Last updated Apr 27th, 2021 - about 3 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 1881074961 NPPES
Michigan MEDICAID 1881074961

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