NPI 1245242676 · live from the CMS NPI Registry
Bethany Care Center L.L.C
Skilled Nursing Facility in Bloomingdale, MI. National Provider Identifier 1245242676, active.
NPI record
| NPI | 1245242676 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 42235 County Road 390, Bloomingdale, MI 49026 |
| Practice phone | 269-521-3383 |
| Mailing address | 3075 Orchard Vista Dr Se, Suite 100, Grand Rapids, MI 49546 |
| Enumerated | August 13, 2006 |
| Last updated | November 21, 2008 |
| Authorized official | J Dood, Executive Vice President / Cfo |
| Other names | Metron Of Bloomingdale |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | 804010 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.