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NORTHCREST OPERATING CO.INC. NPI 1154754034


NPI Information

NPI: 1154754034
Provider Name: NORTHCREST OPERATING CO.,INC.

Doing Business As: NORTHCREST ASSISTED LIVING

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
2650 RUDDIMAN DR
NORTH MUSKEGON, MI
ZIP 49445
Phone: (231) 744-2447
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NORTHCREST OPERATING CO.,INC. is an assisted living facility in North Muskegon, MI. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. NORTHCREST OPERATING CO.,INC. NPI is 1154754034. The provider is registered as an organization entity type.
The provider Is Doing Business As Northcrest Assisted Living.

The provider's business location address is:

2650 RUDDIMAN DR
NORTH MUSKEGON, MI
ZIP 49445-260
Phone: (231) 744-2447
Fax: (231) 744-2448

The provider's authorized official is Jason B Reese .
The authorized official title is President & Chief Operating Officer and has the following contact phone number (614) 416-0600.

The enumeration date for this NPI number is 8/15/2013 and was last updated on 9/17/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityAH610236856MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AH610236856OTHERMICHIGANSTATE OF MICHIGAN DEPARTMENT OF HUMAN SERVICES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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