Harold And Grace Upjohn Community Care Center

LBN: Harold And Grace Upjohn Community Care Center
Harold And Grace Upjohn Community Care Center is an health care organization with primary practice located at 2400 Portage St , Kalamazoo MI 49001-3728. 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. Harold And Grace Upjohn Community Care Center can be contacted via phone (269) 381-4290, or through White, Dana via phone (269) 381-4290.

Contact Information

Primary practice address
2400 Portage St Kalamazoo MI 49001-3728
Fax: (269) 343-5474
Website:
Authorized official contact:
Name: White, Dana

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 394090 Michigan

Profile Details

NPI number 1124002910
LBN Legal business name Harold And Grace Upjohn Community Care Center
DBA Doing business as
Authorized official White, Dana
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 5th, 2005
Last updated Jan 18th, 2012 - about 13 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 1124002910 NPPES
Michigan MEDICAID 2081160
Michigan Other 09557

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