Roosevelt Park Nursing And Rehabilitation Community
LBN: Roosevelt Park Nursing Centre, Inc.
Roosevelt Park Nursing And Rehabilitation Community is an health care organization with primary practice located at 1300 W Broadway Ave , Muskegon MI 49441-3530. 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.
Roosevelt Park Nursing Centre, Inc. can be contacted via phone (231) 755-2221, or through Lockhart, Dennis via phone (614) 416-0600.
Contact Information
Primary practice address
1300 W Broadway Ave
Muskegon MI 49441-3530
Phone: (231) 755-2221
Fax: (231) 755-3142
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 61-4080 | Michigan |
Profile Details
| NPI number | 1255339354 |
|---|---|
| LBN Legal business name | Roosevelt Park Nursing Centre, Inc. |
| DBA Doing business as | Roosevelt Park Nursing And Rehabilitation Community |
| Authorized official | Lockhart, Dennis |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Feb 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255339354 | NPPES |
| Michigan | MEDICAID | 60 1642830 | |
| Michigan | Other | 09692 |
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