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Contact Information

LAUREL HEALTH CARE COMPANY OF HUDSONVILLE
3650 VAN BUREN ST
HUDSONVILLE, MI49426-1036
 Phone: 616-669-1520
 Fax: 616-669-4640
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for LAUREL HEALTH CARE COMPANY OF HUDSONVILLE

NPI Number 1982659595
LBN Legal business name LAUREL HEALTH CARE COMPANY OF HUDSONVILLE
Authorized official ANIS KHAN - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/23/2006
Last updated 09/10/2021 - About 5 years ago
Identifiers
MI License # 704050
MI Medicaid 3478134
MI Other 09882 BLUE CROSS BLUE SHIELD #
MI Other 704050 NURSING HOME LICENSE #
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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