IHS Acquisition No 114 Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNFLTC464050 Issued in MI

Legal business name

IHS ACQUISITION NO 114 INC

Practice address

730 Kimole Lane
Adrian, MI 49221-1463

Phone

(517) 263-6771

Fax

(517) 265-8599

NPI assigned

Dec 23, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Brian Reynolds

Title

Ceo

Phone

(410) 513-8738

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lynwood Manor Healthcare Center Other name

Locations

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1306823919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 KIMOLE LANE",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211463",
            "telephone_number": "517-263-6771",
            "fax_number": "517-265-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 KIMOLE LANE",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211463",
            "telephone_number": "517-263-6771",
            "fax_number": "517-265-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHS ACQUISITION NO 114 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-23",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-513-8738",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "SNFLTC464050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "604163621",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lynwood Manor Healthcare Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Emma Faith Hunt I
• Shimea Lynn Hunt, PA-C
• Rose Marie Hunter, MD
• Sean Patrick Hurlburt, DPT
• Kennedy Marie Hyde
• Kathryn Eileen Illenden, LBSW
• Inad Haddad, MD, PC
• Indigo Hospital Medicine - Adrian PLC
• Sidney Ing
• Internal Medicine Associates of Adrian PC

• Skilled Nursing Facility in Adrian, MI
• Providers in Adrian, MI by specialty
• Skilled Nursing Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.