NPI 1073506473 · live from the CMS NPI Registry
Christian Rest Home Association
Skilled Nursing Facility in Grand Rapids, MI. National Provider Identifier 1073506473, active.
NPI record
| NPI | 1073506473 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 1000 Edison Ave Nw, Grand Rapids, MI 49504 |
| Practice phone | 616-453-2475 |
| Enumerated | August 31, 2005 |
| Last updated | June 13, 2008 |
| Authorized official | James Horjus, Chief Financial Officer |
| Other names | Christian Rest Home |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | 414020 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.