Chalet of Niles, LLC

Organization Active NPI Skilled Nursing Facility · Niles, MI

NPI 1093108151 · NPPES record last updated Mar 16, 2015

Key facts

NPI
1093108151
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
Legal business name
CHALET OF NILES, LLC
Practice address
911 S 3Rd St
Niles, MI 49120-3414
Phone
(269) 684-4320
Fax
(269) 684-6744
NPI assigned
Mar 13, 2015
Organization subpart
No

Authorized official

Name
Jeffrey Sax
Title
MBR
Phone
(219) 898-5705

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

1200 River Ave
#7B18
Lakewood, NJ 08701

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Yes

Addresses

Primary practice location

911 S 3Rd St
Niles, MI 49120-3414

Mailing address

911 S 3Rd St
Niles, MI 49120-3414
Phone (269) 684-4320

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 16, 2015.

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1093108151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 S 3RD ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491203414",
            "telephone_number": "269-684-4320",
            "fax_number": "269-684-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 S 3RD ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491203414",
            "telephone_number": "269-684-4320",
            "fax_number": "269-684-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHALET OF NILES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-13",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "SAX",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "219-898-5705"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, MI

All providers in Niles, MI · Skilled Nursing Facility in Michigan

Sources for this page

Verify at the official NPI Registry.