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CANTERBURY HEALTH CARE INC NPI 1013013275


NPI Information

NPI: 1013013275
Provider Name: CANTERBURY HEALTH CARE, INC

Doing Business As: CANTERBURY ON-THE-LAKE

Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization
Address:
5601 HATCHERY RD
WATERFORD, MI
ZIP 48329
Phone: (248) 674-9292
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CANTERBURY HEALTH CARE, INC is a skilled nursing facility in Waterford, MI. The provider is (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 services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. CANTERBURY HEALTH CARE, INC NPI is 1013013275. The provider is registered as an organization entity type.
The provider Is Doing Business As Canterbury On-the-lake.

The provider's business location address is:

5601 HATCHERY RD
WATERFORD, MI
ZIP 48329
Phone: (248) 674-9292
Fax: (248) 674-5393

The provider's authorized official is Cheryl A Drutchas .
The authorized official title is Chairman and has the following contact phone number (248) 674-9292.

The enumeration date for this NPI number is 9/15/2006 and was last updated on 8/28/2019.


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 Facility1070000051MICHIGANYes

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
109755OTHERBLUE CROSS/ BLUE SHIELD M
260 2083058MEDICAIDMICHIGAN
3F0000008663OTHERBLUE CARE NETWORK

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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