Medilodge of Hillman LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

604010 Issued in MI

Legal business name

MEDILODGE OF HILLMAN LLC

Practice address

631 Caring St
Hillman, MI 49746-8818

Phone

(989) 742-4581

NPI assigned

Feb 8, 2006

Last updated

May 1, 2008By 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

Kathleen Denean

Title

Chief Executivc Officer

Phone

(586) 752-5008

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Hillman Opco LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Hillman Opco LLC

  dba Medilodge of Hillman

  • Skilled Nursing Facility
  • Hillman, MI
  • NPI 1780025288
  NPD tax ID

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1437122801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64500 VAN DYKE RD",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480952583",
            "telephone_number": "586-752-5008",
            "fax_number": "586-752-7609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 CARING ST",
            "city": "HILLMAN",
            "state": "MI",
            "postal_code": "497468818",
            "telephone_number": "989-742-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDILODGE OF HILLMAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "DENEAN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVC OFFICER",
        "authorized_official_telephone_number": "586-752-5008"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "604010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MICHIGAN",
            "identifier": "S9502",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4147350",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madalynn Hede Lefler, DPT
• Mark Lemanski
• Rebecca N Litzner, MSW
• Leonard J Matusik, NP
• Patrick Lynn McConnaughey, LICENSED PROFESSIONA
• Christina Mercer, FNP-C
• Maria J Mills, L.P.C.
• Donna R Mullen, L.P.C.
• Mymichigan Medical Center Alpena
• Olree Chiropractic Inc

• Skilled Nursing Facility in Hillman, MI
• Providers in Hillman, 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 May 1, 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.