NPI 1689672792 · live from the CMS NPI Registry
Atrium South Haven LLC
Skilled Nursing Facility in South Haven, MI. National Provider Identifier 1689672792, active.
NPI record
| NPI | 1689672792 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 850 Phillips St, South Haven, MI 49090 |
| Practice phone | 269-637-5147 |
| Enumerated | July 12, 2005 |
| Last updated | March 3, 2025 |
| Authorized official | Dennis Lockhart, Chief Accounting Officer |
| Other names | Atrium South Haven, INC.; South Haven Nursing And Rehabilitation Community |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | 80-4030 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.