Corewell Health Rehabilitation & Nursing Center - Kentridge

LBN: Spectrum Health Continuing Care
Corewell Health Rehabilitation & Nursing Center - Kentridge is an health care organization with primary practice located at 4118 Kalamazoo Ave Se , Grand Rapids MI 49508-3605. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Spectrum Health Continuing Care can be contacted via phone (616) 455-7300, or through Cox, Matthew E via phone (616) 391-1663.

Contact Information

Primary practice address
4118 Kalamazoo Ave Se Grand Rapids MI 49508-3605
Phone: (616) 455-7300
Fax: (616) 455-7154
Website:
Map and Directions
Authorized official contact:
Name: Cox, Matthew E
Phone: (616) 391-1663

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 414090 Michigan
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 414090 Michigan

Profile Details

NPI number 1750365532
LBN Legal business name Spectrum Health Continuing Care
DBA Doing business as Corewell Health Rehabilitation & Nursing Center - Kentridge
Authorized official Cox, Matthew E
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 5th, 2005
Last updated Oct 3rd, 2023 - about last year

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 1750365532 NPPES
Michigan MEDICAID 602154472
Michigan Other 09613

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