NPI 1174673594 · live from the CMS NPI Registry
Faith Haven Senior Care Centre, LLC
Skilled Nursing Facility in Jackson, MI. National Provider Identifier 1174673594, active.
NPI record
| NPI | 1174673594 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 6531 W Michigan Ave, Jackson, MI 49201 |
| Practice phone | 517-750-3822 |
| Mailing address | 10503 Citation Dr Ste 100, Brighton, MI 48116 |
| Enumerated | January 10, 2007 |
| Last updated | May 5, 2022 |
| Authorized official | Todd Sangster, Cfo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | 332BN1400X | 384020 (MI) |
| Skilled Nursing Facility primary | 314000000X | 384020 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.