Magnum Health and Rehab of Clare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MAGNUM HEALTH AND REHAB OF CLARE LLC

Doing business as

Magnum Health and Rehab of Clare

Practice address

600 SE 4TH St
Clare, MI 48617-9201

Phone

(989) 386-7723

NPI assigned

Apr 23, 2010

Last updated

Apr 23, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Avi Klein

Title

President

Phone

(786) 888-3310

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Magnum Health and Rehab of Clare Doing business as

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1417274945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SE 4TH ST",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486179201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SE 4TH ST",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486179201",
            "telephone_number": "989-386-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNUM HEALTH AND REHAB OF CLARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "AVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-888-3310"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "235022",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnum Health and Rehab of Clare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jesse Kroll
• Cherie Lalone, LPC
• Nicholas Latuszek, DPT
• Daniel Leppek, PT
• Brianna Rose Lybeer, MA CCC-SLP
• Jose Maldonado-Vazquez, MD
• Adnan Anwar Malik, M.D.
• Cedric B Masa, M.D.
• Tana Lyn Mashue Spicer
• Kelly Marie Mathison

• Skilled Nursing Facility in Clare, MI
• Providers in Clare, 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 Apr 23, 2010; 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.