Kalamazoo Care Center, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

394110 Issued in MI

Legal business name

KALAMAZOO CARE CENTER, INC

Practice address

1430 Alamo Ave
Kalamazoo, MI 49006-2216

Phone

(269) 349-2661

Fax

(269) 349-8275

NPI assigned

Aug 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. J Lindsey Dood

Title

Executive Vice President / Cfo

Phone

(616) 975-5287

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Metron of Kalamazoo Doing business as

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1386656775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 ORCHARD VISTA DR SE",
            "address_2": "SUITE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467069",
            "telephone_number": "616-957-3957",
            "fax_number": "616-957-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 ALAMO AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490062216",
            "telephone_number": "269-349-2661",
            "fax_number": "269-349-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALAMAZOO CARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "DOOD",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "LINDSEY",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT / CFO",
        "authorized_official_telephone_number": "616-975-5287",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "394110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4221529",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metron of Kalamazoo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Kalamazoo, MI
• Providers in Kalamazoo, 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 Nov 21, 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.