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CITY RESCUE MISSION OF SAGINAW INC. NPI 1063538536


NPI Information

NPI: 1063538536
Provider Name: CITY RESCUE MISSION OF SAGINAW, INC.

Doing Business As: COMMUNITY VILLAGE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 23D2203304

Address:
3200 HOSPITAL RD
SAGINAW, MI
ZIP 48603
Phone: (989) 792-5442
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CITY RESCUE MISSION OF SAGINAW, INC. is an assisted living facility in Saginaw, 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. CITY RESCUE MISSION OF SAGINAW, INC. NPI is 1063538536. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Village.

The provider's business location address is:

3200 HOSPITAL RD
SAGINAW, MI
ZIP 48603-622
Phone: (989) 792-5442
Fax: (989) 792-2717

The provider's authorized official is Kenneth R Streeter .
The authorized official title is Administrator and has the following contact phone number (989) 792-5442.

The CLIA number assigned to this NPI record is 23D2203304 - other - home for the aged with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityMICHIGANYes

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: 4/28/2024

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