Regency On The Lake-Fort Gratiot, Llc

LBN: Regency On The Lake-Fort Gratiot, Llc
Regency On The Lake-Fort Gratiot, Llc is an health care organization with primary practice located at 5669 Lakeshore Rd , Fort Gratiot MI 48059-2817. 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. Regency On The Lake-Fort Gratiot, Llc can be contacted via phone (810) 385-7260, or through Qazi, Mohammad Ashraf via phone (248) 386-0300.

Contact Information

Primary practice address
5669 Lakeshore Rd Fort Gratiot MI 48059-2817
Phone: (810) 385-7260
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Qazi, Mohammad Ashraf
Phone: (248) 386-0300

Health care specialties

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

Profile Details

NPI number 1356491369
LBN Legal business name Regency On The Lake-Fort Gratiot, Llc
DBA Doing business as
Authorized official Qazi, Mohammad Ashraf
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 11th, 2007
Last updated Mar 30th, 2010 - about 15 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 1356491369 NPPES
Michigan Other 09594 BCBSM PROVIDER CODE
Michigan MEDICAID 4988052 BCBSM PROVIDER CODE

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