East Lansing Health Care Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

334060 Issued in MI

Legal business name

EAST LANSING HEALTH CARE CENTER, INC.

Practice address

2815 Northwind Dr
East Lansing, MI 48823-5003

Phone

(517) 332-0817

NPI assigned

Nov 1, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Chauncey R. Dunbar, CPA

Title

Secretary / Treasurer

Phone

(601) 956-1576

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• East Lansing Health Care Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1083605802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 NORTHWIND DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235003",
            "telephone_number": "517-332-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 NORTHWIND DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235003",
            "telephone_number": "517-332-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST LANSING HEALTH CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "DUNBAR",
        "authorized_official_first_name": "CHAUNCEY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "SECRETARY / TREASURER",
        "authorized_official_telephone_number": "601-956-1576",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "334060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578776",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Lansing Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katrina Dyer, OTR/L
• I. Zachary Dyme, MD
• Dynamic Change Therapy LLC
• Dynamic Engagement Group LLC
• East Lansing Advanced Dental Dba East Lansing Modern Dental
• East Lansing Opco LLC
• East Lansing Psychological Services PLLC
• East Lansing Rheumatology PLLC
• Eve Easter
• Patrick J Ebert, O.D.

• All providers in East Lansing, MI
• Skilled Nursing Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.