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CHRISTIAN REST HOME ASSOCIATION NPI 1720350341


NPI Information

NPI: 1720350341
Provider Name: CHRISTIAN REST HOME ASSOCIATION

Doing Business As: EDISON ASSISTED LIVING CENTER

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1010 EDISON AVE NW
GRAND RAPIDS, MI
ZIP 49504
Phone: (616) 453-0581
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CHRISTIAN REST HOME ASSOCIATION is an assisted living facility in Grand Rapids, 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. CHRISTIAN REST HOME ASSOCIATION NPI is 1720350341. The provider is registered as an organization entity type.
The provider Is Doing Business As Edison Assisted Living Center.

The provider's business location address is:

1010 EDISON AVE NW
GRAND RAPIDS, MI
ZIP 49504-918
Phone: (616) 453-0581
Fax: (616) 791-0910

The provider's authorized official is James Horjus .
The authorized official title is Administrator and has the following contact phone number (616) 453-0581.

The enumeration date for this NPI number is 1/27/2012 and was last updated on 1/27/2012.


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 FacilityAH410236778MICHIGANYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AH410236778OTHERMICHIGANMICHIGAN 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: 4/28/2024

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