Organization Active NPI

Chalet of Adrian LLC

  • Skilled Nursing Facility
  • Adrian, MI
National Provider Identifier
1205297249
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CHALET OF ADRIAN LLC
Practice address
130 Sand Creek Hwy
Adrian, MI 49221-9129
Phone
(219) 898-5705
NPI assigned
Mar 18, 2016
Last updated
Mar 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X MI Primary

Addresses

Primary practice location

130 Sand Creek Hwy
Adrian, MI 49221-9129

Mailing address

6101 Nimtz Pkwy
South Bend, IN 46628-6111
Phone (219) 898-5705

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1205297249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 NIMTZ PKWY",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466286111",
            "telephone_number": "219-898-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 SAND CREEK HWY",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492219129",
            "telephone_number": "219-898-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHALET OF ADRIAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-18",
        "last_updated": "2016-03-18",
        "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": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adrian, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; 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.