Covenant Living Of The Great Lakes in Grand Rapids - Skilled Nursing Facility
Covenant Living Of The Great Lakes - NPI 1568554566
Covenant Living Of The Great Lakes is a Skilled Nursing Facility in Grand Rapids, Michigan. Covenant Living Of The Great Lakes practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Covenant Living Of The Great Lakes is 1568554566. The last update date is 2020-01-28.
Covenant Living Of The Great Lakes's current location address is 2520 Lake Michigan Drive Nw, Grand Rapids, Michigan. You can contact this provider via phone number 6167354541 and fax number 6167355900. The mailing address for Covenant Living Of The Great Lakes is 2520 Lake Michigan Drive Nw, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Covenant Living Of The Great Lakes |
|---|---|
| Address | 2520 Lake Michigan Drive Nw, Grand Rapids, Michigan |
| Phone Number | 6167354541 |
| Fax Number | 6167355900 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ASSOCIATE |
|---|---|
| Authorized Official Name | Mclaren Elizabeth |
| Telephone Number | 7738784430 |
NPI Number Detail
| NPI Number | 1568554566 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2020-01-28 |
Provider Mailing Address Detail
| Address | 2520 Lake Michigan Drive Nw |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495044696 |
| Phone Number | 6167354541 |
| Fax Number | 6167355900 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 414382 |
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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 |
|---|---|---|---|
| 7974902 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Covenant Living Of The Great Lakes by the Centers for Medicare & Medicaid Services (CMS)?
The Covenant Living Of The Great Lakes has been assigned the NPI (National Provider Identifier) 1568554566. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Covenant Living Of The Great Lakes is located?
The Covenant Living Of The Great Lakes is situated at the following address: 2520 Lake Michigan Drive Nw, Grand Rapids, MI, 495044696.
What is Covenant Living Of The Great Lakes's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Covenant Living Of The Great Lakes is Skilled Nursing Facility, and the taxonomy classification code that categorizes this area of expertise is 314000000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1568554566 to Covenant Living Of The Great Lakes?
The Centers for Medicare & Medicaid Services originally issued the 1568554566 to Covenant Living Of The Great Lakes on 2006-09-28.
When was the information regarding Covenant Living Of The Great Lakes most recently updated?
The details pertaining to the Covenant Living Of The Great Lakes, including its address, specialty, and other relevant information, were last refreshed on 2020-01-28.