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FERGUSON CONVALESCENT HOME INC. NPI 1588655849


NPI Information

NPI: 1588655849
Provider Name: FERGUSON CONVALESCENT HOME, INC.
Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
Entity Type: Organization
Address:
239 S MAIN ST
LAPEER, MI
ZIP 48446
Phone: (810) 664-6611
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FERGUSON CONVALESCENT HOME, INC. is a nursing facility intermediate care facility in Lapeer, MI. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. FERGUSON CONVALESCENT HOME, INC. NPI is 1588655849. The provider is registered as an organization entity type.

The provider's business location address is:

239 S MAIN ST
LAPEER, MI
ZIP 48446-426
Phone: (810) 664-6611
Fax: (810) 664-8633

The provider's authorized official is Anna Lee Ferguson .
The authorized official title is Administrator and has the following contact phone number (810) 664-6611.

The enumeration date for this NPI number is 11/3/2005 and was last updated on 9/14/2011.


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
1314000000XSkilled Nursing Facility44-4010MICHIGANNo
2313M00000XNursing Facility/Intermediate Care Facility44-4010MICHIGANYes

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
123E089MEDICARE OSCAR/CERTIFICATIONMICHIGAN
22153214MEDICAIDMICHIGAN
3235654MEDICARE OSCAR/CERTIFICATION

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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