NPI 1114974391 · live from the CMS NPI Registry
Fenton Healthcare LLC
Skilled Nursing Facility in Fenton, MI. National Provider Identifier 1114974391, active.
NPI record
| NPI | 1114974391 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 512 Beach St, Fenton, MI 48430 |
| Practice phone | 810-629-4117 |
| Enumerated | May 31, 2006 |
| Last updated | September 15, 2026 |
| Authorized official | Larry White, Manager |
| Other names | Fenton Healthcare |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | 254050 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.