Odd Fellow & Rebekah Home of Michigan

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

384200 Issued in MI

Legal business name

ODD FELLOW & REBEKAH HOME OF MICHIGAN

Practice address

2388 W Michigan Ave
Jackson, MI 49202-3919

Phone

(517) 787-5140

Fax

(517) 787-0722

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jeremy Hiler, N.H.A.

Title

Nursing Home Administrator

Phone

(517) 787-5140

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386742310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2388 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023919",
            "fax_number": "517-787-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2388 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023919",
            "telephone_number": "517-787-5140",
            "fax_number": "517-787-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODD FELLOW & REBEKAH HOME OF MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HILER",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "NURSING HOME ADMINISTRATOR",
        "authorized_official_telephone_number": "517-787-5140",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "N.H.A."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "384200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Obhg Michigan, PC
• Shawn Obi, DO
• Jason Obits, LLMSW
• Occupational Health Program of Jackson
• Patricia Wells Oconnell, LMSW
• Office 4 PLLC
• Delis Ogando, DDS
• Francis Ogunedo
• Oluwaseun Ogunsuyi Oguntomole
• Paulina Ohrey

• Skilled Nursing Facility in Jackson, MI
• Providers in Jackson, 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 Aug 22, 2020; 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.