Medilodge Of Rochester Hills

LBN: Medilodge Of Rochester Hills Inc
Medilodge Of Rochester Hills is an health care organization with primary practice located at 1480 Walton Blvd , Rochester Hills MI 48309-1739. 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. Medilodge Of Rochester Hills Inc can be contacted via phone (248) 651-4422, or through Rogers, Stacey Paul via phone (502) 429-8062.

Contact Information

Primary practice address
1480 Walton Blvd Rochester Hills MI 48309-1739
Phone: (248) 651-4422
Fax: (248) 651-3009
Website:
Map and Directions
Authorized official contact:
Name: Rogers, Stacey Paul
Phone: (502) 429-8062

Health care specialties

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

Profile Details

NPI number 1609836204
LBN Legal business name Medilodge Of Rochester Hills Inc
DBA Doing business as Medilodge Of Rochester Hills
Authorized official Rogers, Stacey Paul
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2006
Last updated Dec 30th, 2014 - about 10 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 1609836204 NPPES
Michigan MEDICAID 1609836204

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