Clark Retirement Community, Inc. in Grand Rapids - Skilled Nursing Facility
Clark Retirement Community, Inc. - NPI 1265421051
Clark Retirement Community, Inc. is a Skilled Nursing Facility in Grand Rapids, Michigan. Clark Retirement Community, Inc. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Clark Retirement Community, Inc. is 1265421051. The last update date is 2015-04-07.
Clark Retirement Community, Inc.'s current location address is 1551 Franklin St Se, Grand Rapids, Michigan. You can contact this provider via phone number 6164521568 and fax number 6162479625. The mailing address for Clark Retirement Community, Inc. is 1551 Franklin St Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clark Retirement Community, Inc. |
|---|---|
| Address | 1551 Franklin St Se, Grand Rapids, Michigan |
| Phone Number | 6164521568 |
| Fax Number | 6162479625 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Pangle A Brian |
| Telephone Number | 6164521568 |
NPI Number Detail
| NPI Number | 1265421051 |
|---|---|
| Provider Enumeration Date | 2005-10-14 |
| Last Updated Date | 2015-04-07 |
Provider Mailing Address Detail
| Address | 1551 Franklin St Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 49506 |
| Phone Number | 6164521568 |
| Fax Number | 6162479625 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 235401 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2081269 | MI | -- |
Post Comment/ Review Below
What is the Clark Retirement Community, Inc.'s unique identification number?
The Clark Retirement Community, Inc. has been assigned the NPI (National Provider Identifier) Number 1265421051 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Clark Retirement Community, Inc.?
The Clark Retirement Community, Inc. is physically situated at 1551 Franklin St Se, in the city of Grand Rapids, state of MI, with the postal code 49506.
What is the Clark Retirement Community, Inc.'s area of specialization and corresponding taxonomy classification?
The Clark Retirement Community, Inc.'s specialty field is Skilled Nursing Facility, and it falls under the taxonomy code 314000000X, which categorizes healthcare providers based on their specialties.
On what date was the 1265421051 assigned to Clark Retirement Community, Inc.?
The Clark Retirement Community, Inc. was issued its 1265421051 on 2005-10-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Clark Retirement Community, Inc.'s details last updated?
The information pertaining to the Clark Retirement Community, Inc., including its address, specialty, and other details, was most recently updated on 2015-04-07.